Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley Green, PA-C, RD, LD/N

Individual provider Registered Dietitian · NPI 1205443728

Ashley Green, PA-C, RD, LD/N is a Physician Assistant in Lake Mary, Florida. Qualified in 2020, 6 years ago. Practices with West Volusia Family and Sports Medicine Inc, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1301 S International Pkwy Ste 1041
Lake Mary, FL 32746-1410
Phone: (407) 732-7668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1639 N Volusia Ave Ste B, Orange City, FL 32763-3843 — (386) 777-2273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113579 (FL)
Registered Dietitian Taxonomy 133V00000X · Licence ND7124 (FL)

Record details

NPI number1205443728
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RD , LD/N
Sole proprietorNo
NPI enumeratedSeptember 29, 2020
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice West Volusia Family And Sports Medicine Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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