Ashley Blackwood
Individual provider Active NPI Family Nurse Practitioner · Little Rock, AR
NPI 1295276285 · NPPES record last updated Dec 11, 2018
Key facts
- NPI
- 1295276285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A005083 (AR)
- Practice address
- 701 N University Ave
Little Rock, AR 72205-2936 - Phone
- (501) 664-4810
- NPI assigned
- Mar 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Family Care Network
Practice addresses (Care Compare)
701 N University Ave
Suite 100 Little Rock Family Practice Cent
Little Rock, AR 72205-2936
Phone (501) 664-4810
Hospital & facility affiliations
- Baptist Health Medical Center-Little Rock
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170424000219 | AR | Practitioner - Nurse Practitioner | 0840576047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Family Care Network | Current |
Accepting new patients | |
| Arkansas Family Care Network | Past |
Accepting new patients |
Locations
4208 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 223-0779
701 N University Ave
Ste 100
Little Rock, AR 72205
Phone (501) 664-4810
5125 Northshore Dr
North Little Rock, AR 72118
Interoperability endpoints
- ashley.blackwood@afcn.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005083 | AR | Yes |
Addresses
Primary practice location
701 N University Ave
Little Rock, AR 72205-2936
Mailing address
7116 Shamrock Dr
Little Rock, AR 72205-2782
Phone (256) 653-4542
Other names
- Ashley Thompson
Other providers in Little Rock, AR
- Anna Blackshare
- London Elizabeth Blackwell-Dyer
- Lashay Blackwell
- Rhonda Blackwell
- Zain Blackwell
- Robert Blagg
- Sara Bransford Blair
- Susan Diane Blair
- Tykeira Blair
- Bethany Lynn Blake
All providers in Little Rock, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.