Active NPI
Ashley Elizabeth Berman, CPNP-PC
- Pediatric Nurse Practitioner
- Washington Court House, OH
National Provider Identifier
1164733192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- COA.11524-NP
- Practice address
- 616 Willard St.
Washington Court House, OH 43160-1899 - Phone
- (740) 335-0886
- Fax
- (740) 335-1924
- NPI assigned
- Jun 24, 2010
- 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 | COA.11524-NP | OH | Primary |
Addresses
Primary practice location
616 Willard St.
Washington Court House, OH 43160-1899
Mailing address
616 Willard St.
Washington Court House, OH 43160-1899
Phone (740) 335-0886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3095805 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.11524-NP | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Physicians Group LLC | Current | Accepting new patients | |
| Abc Pediatrics of Ohio, LLC | Past | Accepting new patients |
Locations
630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570
630 W Main St
Ste 105
Wilmington, OH 45177
Phone (513) 793-9600
Interoperability endpoints
- https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/IDHHBD/Endpoint/IDHHBD
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Wilmington, OH
- NPI 1932401411
-
- Pediatric Adolescent Medicine Physician
- Washington Court House, OH
- NPI 1093845893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1164733192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 WILLARD ST.",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431601899",
"telephone_number": "740-335-0886",
"fax_number": "740-335-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 WILLARD ST.",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431601899",
"telephone_number": "740-335-0886",
"fax_number": "740-335-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "COA.11524-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3095805",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.