Active NPI
Ashley Guthrie
- Facial Plastic Surgery Physician
- Brentwood, TN
National Provider Identifier
1295129336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 63091
- Practice address
- 1001 Health Park Dr Ste 420
Brentwood, TN 37027-5721 - Phone
- (615) 880-9500
- NPI assigned
- Mar 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 394243 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Facial Plastic Surgery Physician | 207YS0123X | 63091 | TN | Primary |
Addresses
Primary practice location
1001 Health Park Dr Ste 420
Brentwood, TN 37027-5721
Mailing address
1001 Health Park Dr Ste 420
Brentwood, TN 37027-5721
Phone (615) 880-9500
Other practice location 1
2700 Highway 280 S Ste 300W
Mountain Brk, AL 35223-2445
Phone (205) 930-9595
Other practice location 2
310 E 14th St
New York, NY 10003-4201
Phone (201) 962-6533
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210824002191 | TN | Practitioner - Otolaryngology | 8426489873 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 394243 | AL | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1295129336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 HEALTH PARK DR STE 420",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275721",
"telephone_number": "615-880-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HEALTH PARK DR STE 420",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275721",
"telephone_number": "615-880-9500"
}
],
"practiceLocations": [
{
"address_1": "2700 Highway 280 S Ste 300W",
"address_purpose": "LOCATION",
"city": "Mountain Brk",
"state": "AL",
"postal_code": "352232445",
"country_code": "US",
"telephone_number": "205-930-9595",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 E 14th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100034201",
"country_code": "US",
"telephone_number": "201-962-6533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTHRIE",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2022-03-28",
"certification_date": "2021-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "AL",
"license": "394243",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "TN",
"license": "63091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.