Individual provider Active NPI

Ashley Danielle Lann Spann, FNP-C

  • Family Nurse Practitioner
  • Amory, MS
National Provider Identifier
1215545967
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904016 Issued in MS
Practice address
1215 Earl Frye Blvd
Amory, MS 38821-5509
Phone
(662) 256-9344
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 904016 MS Primary

Addresses

Primary practice location

1215 Earl Frye Blvd
Amory, MS 38821-5509

Mailing address

60156 Seminole Rd
Smithville, MS 38870-9646
Phone (662) 315-1526

Other practice location 1

2273 S Eason Blvd
Tupelo, MS 38804-5900
Phone (662) 842-2461

Other identifiers 1

IdentifierTypeStateIssuer
1215545967MedicaidMS

Other names 1

  • Ashley Danielle Lann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20200727002508 MS Practitioner - Nurse Practitioner 5799109575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Care PLLCGroup PAC ID 8921484817, 6 clinicians

Practice addresses (Care Compare)

1208 Guy Pickle Rd
Amory, MS 38821-8212
Phone (662) 256-3120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904016MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Care PLLC CurrentSince Aug 23, 2024 Accepting new patients
Community Family Healthcare, Inc Family PastSince Sep 1, 2021 Accepting new patients

Locations

1208 Guy Pickle Rd
Amory, MS 38821
Phone (662) 256-3120

Interoperability endpoints

  • Direct secure messaging: ashley.spann.1@28315.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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1215545967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60156 SEMINOLE RD",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388709646",
            "telephone_number": "662-315-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 EARL FRYE BLVD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215509",
            "telephone_number": "662-256-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2273 S Eason Blvd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388045900",
            "country_code": "US",
            "telephone_number": "662-842-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPANN",
        "first_name": "ASHLEY",
        "middle_name": "DANIELLE LANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-01-31",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215545967",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "LANN",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.