Individual provider Active NPI

Ashley Anderson, PNP

  • Pediatric Nurse Practitioner
  • Winnsboro, LA
National Provider Identifier
1093218547
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
12312341 Issued in LA
Practice address
2104 Loop Rd Ste C
Winnsboro, LA 71295-3341
Phone
(318) 435-4571
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 12312341 LA Primary

Addresses

Primary practice location

2104 Loop Rd Ste C
Winnsboro, LA 71295-3341

Mailing address

PO Box 1300
Winnsboro, LA 71295-1300
Phone (318) 412-5265

Other names 1

  • Ashley Souther Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180321000246 LA Practitioner - Nurse Practitioner 2466714936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12312341LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Parish Hospital Service Dist 1 CurrentSince Mar 12, 2018 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Mar 12, 2018 Accepting new patients
Franklin Parish Hospital Past Accepting new patients

Locations

104 Verona St
Newellton, LA 71357
Phone (318) 467-2349

448 Newton St
Saint Joseph, LA 71366
Phone (318) 412-5265

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

2106 Loop Rd
Ste A
Winnsboro, LA 71295
Phone (318) 435-6363

5745 Highway 17
Winnsboro, LA 71295
Phone (318) 722-3333

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1093218547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712951300",
            "telephone_number": "318-412-5265",
            "fax_number": "318-435-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD STE C",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953341",
            "telephone_number": "318-435-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ASHLEY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "12312341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SOUTHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.