Individual provider Active NPI

Ashley D. D'Elia, CRNP

  • Nurse Practitioner
  • Millbrook, AL
National Provider Identifier
1013259316
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-117632 Issued in AL
Practice address
4081 Highway 14
Millbrook, AL 36054
Phone
(334) 285-3222
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-117632 AL Primary
Adult Health Nurse Practitioner 363LA2200X 1-117632 AL

Addresses

Primary practice location

4081 Highway 14
Millbrook, AL 36054

Mailing address

PO Box 688
Millbrook, AL 36054
Phone (334) 285-3222

Other names 1

  • Ashley D Hammock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140304001546 AL Practitioner - Nurse Practitioner 5698905073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skye Consultorio Medico LLC CurrentSince Jul 21, 2024 Accepting new patients
Skye Health LLC CurrentSince Sep 13, 2023 Accepting new patients
Physical Express Past Accepting new patients

Locations

1107 N Eastern Blvd
Montgomery, AL 36117
Phone (334) 647-1444

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1013259316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "36054",
            "telephone_number": "334-285-3222",
            "fax_number": "334-285-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 HIGHWAY 14",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "36054",
            "telephone_number": "334-285-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ELIA",
        "first_name": "ASHLEY",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-117632",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-117632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HAMMOCK",
            "middle_name": "D",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millbrook, AL

Sources for this page

Verify at the official NPI Registry.