Individual provider Active NPI

Ashley Davis Denaples, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1205154176
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
SP010751 Issued in PA
Practice address
521 Mt Pleasant Dr
Suite 101
Scranton, PA 18503-1987
Phone
(570) 346-7338
Fax
(570) 341-3025
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010751 PA
Registered Nurse 163W00000X RN584683 PA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP010751 PA Primary

Addresses

Primary practice location

521 Mt Pleasant Dr
Suite 101
Scranton, PA 18503-1987

Mailing address

521 Mt Pleasant Dr
Suite 101
Scranton, PA 18503-1987
Phone (570) 346-7338

Other identifiers 1

IdentifierTypeStateIssuer
1026699670001MedicaidPA

Other names 1

  • Ashley L Davis Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN584683PAMDRegistered Nurse
SP010751PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maternal & Family Health Services Inc Past Accepting new patients
Physicians Health Alliance Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashley.denaples.1@27525.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1205154176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MT PLEASANT DR",
            "address_2": "SUITE 101",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031987",
            "telephone_number": "570-346-7338",
            "fax_number": "570-341-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MT PLEASANT DR",
            "address_2": "SUITE 101",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031987",
            "telephone_number": "570-346-7338",
            "fax_number": "570-341-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENAPLES",
        "first_name": "ASHLEY",
        "middle_name": "DAVIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010751",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN584683",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP010751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026699670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DAVIS",
            "middle_name": "L",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.