Individual provider Active NPI

Ashley Marie Hale Codding, PA-C, RD/LD

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1124385885
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2590 Issued in OK
Practice address
8325 NW Expressway
Oklahoma City, OK 73162-6006
Phone
(405) 749-7099
Fax
(405) 757-3711
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1841 OK
Physician Assistant 363A00000X 2590 OK Primary

Addresses

Primary practice location

8325 NW Expressway
Oklahoma City, OK 73162-6006

Mailing address

8325 NW Expressway
Oklahoma City, OK 73162-6006
Phone (405) 749-7099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160212000713 OK Practitioner - Physician Assistant 0648435644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2818 Classen Blvd
Norman, OK 73071-4059

2824 Classen Blvd
Norman, OK 73071-4059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2590OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Feb 1, 2016 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

Interoperability endpoints

  • Direct secure messaging: acodding744701@directa.mercy.net

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1124385885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626006",
            "telephone_number": "405-749-7099",
            "fax_number": "405-757-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626006",
            "telephone_number": "405-749-7099",
            "fax_number": "405-757-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODDING",
        "first_name": "ASHLEY",
        "middle_name": "MARIE HALE",
        "credential": "PA-C, RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1841",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.