Individual provider Active NPI

Ashley Iannone, CRNP

  • Family Nurse Practitioner
  • La Plata, MD
National Provider Identifier
1124876347
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R240272 Issued in MD
Practice address
103 Centennial St Ste C
La Plata, MD 20646-5985
Phone
(301) 934-9111
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 R240272 MD Primary

Addresses

Primary practice location

103 Centennial St Ste C
La Plata, MD 20646-5985

Mailing address

103 Centennial St Ste C
La Plata, MD 20646-5985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240903003981 MD Practitioner - Nurse Practitioner 3971042052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Plata Pediatrics & Family Health, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

103 Centennial St
Ste C
La Plata, MD 20646
Phone (301) 934-9111

103 Centennial St
Ste B
La Plata, MD 20646
Phone (301) 200-3032

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJHDDD/Endpoint/CJHDDD

Organizations & group practices 1

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1124876347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTENNIAL ST STE C",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTENNIAL ST STE C",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465985",
            "telephone_number": "301-934-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNONE",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R240272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.