Individual provider Active NPI

Ashley Renee Bonnell, FN-P

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1013521285
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28227 Issued in TN
Practice address
2060 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone
(865) 218-6222
Fax
(833) 671-1059
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28227 TN Primary

Addresses

Primary practice location

2060 Lakeside Centre Way
Knoxville, TN 37922-6591

Mailing address

2060 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone (865) 218-6222

Other identifiers 1

IdentifierTypeStateIssuer
777937AMedicaidTN

Other names 1

  • Ashley Renee Morris Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000882 TN Practitioner - Nurse Practitioner 5496160913 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28227TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sibyl Wray MD Neurology PC CurrentSince Dec 13, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

2060 Lakeside Centre Way
Knoxville, TN 37922
Phone (865) 218-6222

7744 Conner Rd
Powell, TN 37849
Phone (865) 546-9751

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26309/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ashley.bonnell.1@26309.direct.athenahealth.com

Organizations & group practices 5

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1013521285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-218-6222",
            "fax_number": "865-218-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-218-6222",
            "fax_number": "833-671-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNELL",
        "first_name": "ASHLEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FN-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777937A",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MORRIS",
            "middle_name": "RENEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.