Active NPI
Ashley Beth Watterson
- Adult Health Nurse Practitioner
- Berryville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024171488
- Practice address
- 115 S Church St
Berryville, VA 22611-1369 - Phone
- (540) 955-4811
- Fax
- (540) 955-0976
- NPI assigned
- Mar 14, 2012
- Last updated
- Apr 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 203742 | SC | |
| Adult Health Nurse Practitioner | 363LA2200X | 0024171488 | VA | Primary |
Addresses
Primary practice location
115 S Church St
Berryville, VA 22611-1369
Mailing address
136 Linden Dr
Suite 104
Winchester, VA 22601-6900
Phone (540) 678-3588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Amherst St
Winchester, VA 22601-2803
Phone (540) 667-4499
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203742 | SC | MD | Adult Health Nurse Practitioner |
| 0024171488 | VA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates Inc | Current | Accepting new patients | |
| Beach Urgent Care | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
9820 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-2273
1514 Amherst St
Winchester, VA 22601
Phone (540) 667-4499
1066 Hisey Ave
Ste 101
Woodstock, VA 22664
Interoperability endpoints
- a.watterson@dermmds.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Winchester, VA
- NPI 1336140623
-
- Urgent Care Clinic/Center
- Myrtle Beach, SC
- NPI 1457580474
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1003181611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 LINDEN DR",
"address_2": "SUITE 104",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016900",
"telephone_number": "540-678-3588",
"fax_number": "540-678-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S CHURCH ST",
"city": "BERRYVILLE",
"state": "VA",
"postal_code": "226111369",
"telephone_number": "540-955-4811",
"fax_number": "540-955-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERSON",
"first_name": "ASHLEY",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "203742",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024171488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berryville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.