Individual provider Active NPI

Ashley Randleman Chazanow, CPNP

  • Pediatric Nurse Practitioner
  • Morrisville, NC
National Provider Identifier
1235587890
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5020837 Issued in NC
Practice address
101 Holly Creek Rd
Morrisville, NC 27560-9509
Phone
(919) 235-6512
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 5020837 NC Primary

Addresses

Primary practice location

101 Holly Creek Rd
Morrisville, NC 27560-9509

Mailing address

PO Box 803854
Kansas City, MO 64180-3854
Phone (919) 350-0351

Other identifiers 1

IdentifierTypeStateIssuer
1235587890MedicaidNC

Other names 1

  • Ashley Rose Randleman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171127002697 WA Practitioner - Nurse Practitioner 0244596690 Reassigns benefits to 1 organization
I20241210000885 NC Practitioner - Nurse Practitioner 0244596690 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Wake Specialty Physicians, LLC CurrentSince Dec 9, 2024 Accepting new patients
Multicare Health System CurrentSince May 1, 2018 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Dec 9, 2024 Accepting new patients
Multicare Health System CurrentSince May 1, 2018 Accepting new patients
Wake Specialty Physicians, LLC Current Accepting new patients

Locations

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

101 Holly Creek Rd
Morrisville, NC 27560
Phone (919) 235-6480

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

Interoperability endpoints

  • Direct secure messaging: achazanow566440@directhisp.wakemed.org

Organizations & group practices 6

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1235587890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803854",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803854",
            "telephone_number": "919-350-0351",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOLLY CREEK RD",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609509",
            "telephone_number": "919-235-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAZANOW",
        "first_name": "ASHLEY",
        "middle_name": "RANDLEMAN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5020837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235587890",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "RANDLEMAN",
            "middle_name": "ROSE",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.