Individual provider Active NPI

Ashley Guthrie

  • Facial Plastic Surgery Physician
  • Brentwood, TN
National Provider Identifier
1295129336
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
63091 Issued in TN
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

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824002191 TN Practitioner - Otolaryngology 8426489873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
394243ALMDFacial 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

Verify at the official NPI Registry.