Individual provider Active NPI

Ashleigh Shambley Dragnev, DNP, AGNP, AGPCNP-BC

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1023595014
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224990 Issued in NC
Practice address
112 N Benbow Rd
Greensboro, NC 27411-0001
Phone
(336) 334-7880
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 224990 NC Primary

Addresses

Primary practice location

112 N Benbow Rd
Greensboro, NC 27411-0001

Mailing address

112 N Benbow Rd
Greensboro, NC 27411-0001
Phone (336) 334-7880

Other practice location 1

520 N Elam Ave
Greensboro, NC 27403-1127
Phone (336) 547-1792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181022003552 NC Practitioner - Nurse Practitioner 8325391295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
224990NCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1023595014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BENBOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274110001",
            "telephone_number": "336-334-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BENBOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274110001",
            "telephone_number": "336-334-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Elam Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031127",
            "country_code": "US",
            "telephone_number": "336-547-1792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAGNEV",
        "first_name": "ASHLEIGH",
        "middle_name": "SHAMBLEY",
        "credential": "DNP, AGNP, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "224990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.