Ashley L Green
Individual provider Active NPI Driver · Hixson, TN
NPI 1114799418 · NPPES record last updated Nov 8, 2023
Key facts
- NPI
- 1114799418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 095559697 (TN)
- Practice address
- 528 Royal Crest Dr
Hixson, TN 37343-4244 - Phone
- (423) 316-5533
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095559697 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trending Topic Transportation Service L.L.C. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 095559697 | TN | Yes |
Addresses
Primary practice location
528 Royal Crest Dr
Hixson, TN 37343-4244
Mailing address
528 Royal Crest Dr
Hixson, TN 37343-4244
Phone (423) 316-5533
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.