Individual provider Active NPI

Ashley Kate Melton, CPNP

  • Pediatric Nurse Practitioner
  • Lexington, TN
National Provider Identifier
1174851844
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APN0000014470 Issued in TN
Practice address
10777 Highway 412 W
Lexington, TN 38351-6283
Phone
(731) 968-5558
Fax
(731) 968-5567
NPI assigned
Nov 18, 2009
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APN0000014470 TN Primary

Addresses

Primary practice location

10777 Highway 412 W
Lexington, TN 38351-6283

Mailing address

19 Security Dr
Jackson, TN 38305-3626
Phone (731) 664-9040

Other practice location 1

19 Security Dr
Jackson, TN 38305-3626
Phone (731) 664-9040

Other identifiers 1

IdentifierTypeStateIssuer
1521474MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110526000200 TN Practitioner - Nurse Practitioner 0840476933 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000014470TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lentz Pediatrics, PLC CurrentSince Mar 14, 2011 Accepting new patients

Locations

19 Security Dr
Jackson, TN 38305
Phone (731) 256-8300

10777 Highway 412 W
Lexington, TN 38351
Phone (731) 968-5558

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1174851844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SECURITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053626",
            "telephone_number": "731-664-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 HIGHWAY 412 W",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383516283",
            "telephone_number": "731-968-5558",
            "fax_number": "731-968-5567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Security Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053626",
            "country_code": "US",
            "telephone_number": "731-664-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTON",
        "first_name": "ASHLEY",
        "middle_name": "KATE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "APN0000014470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521474",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.