Active NPI
Ashley Menefee, CRNP
- Pediatric Nurse Practitioner
- Frederick, MD
National Provider Identifier
1164701348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R183370
- Practice address
- 1475 Taney Ave
Ste 201
Frederick, MD 21702-4747 - Phone
- (301) 662-1930
- Fax
- (240) 379-6710
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R183370 | MD | Primary |
Addresses
Primary practice location
1475 Taney Ave
Ste 201
Frederick, MD 21702-4747
Mailing address
1475 Taney Ave
Ste 201
Frederick, MD 21702-4747
Phone (301) 662-0133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R183370 | Other | MD | NURSING LISCENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R183370 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pediatrics Physician
- Mount Airy, MD
- NPI 1013773308
-
- Pediatrics Physician
- Frederick, MD
- NPI 1194581488
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1164701348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 TANEY AVE",
"address_2": "STE 201",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024747",
"telephone_number": "301-662-0133",
"fax_number": "240-379-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 TANEY AVE",
"address_2": "STE 201",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024747",
"telephone_number": "301-662-1930",
"fax_number": "240-379-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENEFEE",
"first_name": "ASHLEY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R183370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LISCENSE",
"identifier": "R183370",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.