Individual provider Active NPI

Ashli V Randolph, CNM

  • Advanced Practice Midwife
  • Cookeville, TN
National Provider Identifier
1285056895
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN18256 Issued in TN
Practice address
317 N Hickory Ave
Cookeville, TN 38501-2428
Phone
(931) 528-7527
Fax
(931) 372-8839
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 18256 TN
Advanced Practice Midwife 367A00000X APN18256 TN Primary

Addresses

Primary practice location

317 N Hickory Ave
Cookeville, TN 38501-2428

Mailing address

317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527

Other practice location 1

317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527 ext. 239

Other practice location 2

1080 Neal St
Suite 200
Cookeville, TN 38501-0942
Phone (931) 520-1529 ext. 2215

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303001723 TN Practitioner - Certified Nurse Midwife (CNM) 5294965737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health TN, PCGroup PAC ID 4688065980, 56 clinicians

Practice addresses (Care Compare)

317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
18256TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health TN, PC Advanced Practice Midwife CurrentSince Jul 24, 2023 Accepting new patients

Locations

317 N Hickory Ave
Cookeville, TN 38501
Phone (931) 528-7527

300 Stonecrest Blvd
Ste 310
Smyrna, TN 37167
Phone (629) 206-6858

Interoperability endpoints

  • Direct secure messaging: ashli.randolph.1@23211.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1285056895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N HICKORY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012428",
            "telephone_number": "931-528-7527",
            "fax_number": "931-372-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N HICKORY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012428",
            "telephone_number": "931-528-7527",
            "fax_number": "931-372-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 N Hickory Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012428",
            "country_code": "US",
            "telephone_number": "931-528-7527 x239",
            "fax_number": "931-372-8839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 Neal St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385010942",
            "country_code": "US",
            "telephone_number": "931-520-1529 x2215",
            "fax_number": "931-372-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "ASHLI",
        "middle_name": "V",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "18256",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN18256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.