Ashley Lauren Elizabeth Sudduth

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-120828 Issued in AL

Practice address

1050 Convalescent Rd
Vernon, AL 35592

Phone

(205) 695-9313

NPI assigned

Apr 13, 2017

Last updated

May 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, MS2 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashley.sudduth.1@20757.direct.athenahealth.com
• Direct secure messaging: ashley.sudduth.1@29425.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27388/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Care Ventures, Inc.

  • Nursing Care Agency
  • Birmingham, AL
  • NPI 1528684438
  Medicare reassignment NPD
• Generations Professional Services, LLC

  • Gerontology Nurse Practitioner
  • Vernon, AL
  • NPI 1184131690
  Medicare reassignment NPD
• Dutch Medical Clinics, Inc

  dba Allegro Family Clinics

  • Multi-Specialty Clinic/Center
  • Columbus, MS
  • NPI 1215276175
  Medicare reassignment NPD
• New Hope Family Medical Clinic

  • Clinic/Center
  • Columbus, MS
  • NPI 1699400184
  Medicare reassignment NPD
• New Hope Medical Clinic, Inc.

  • Legal Medicine
  • Columbus, MS
  • NPI 1679567556
  NPD
• Donald P. McCurdy, MD, PC

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1013028414
  NPD (past)
• Southcare Health and Rehab of Red Bay,LLC

  • Skilled Nursing Facility
  • Red Bay, AL
  • NPI 1881562098
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1306370648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 9TH ST NW",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355925813",
            "telephone_number": "205-712-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONVALESCENT RD",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "35592",
            "telephone_number": "205-695-9313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 10th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Red Bay",
            "state": "AL",
            "postal_code": "355823800",
            "country_code": "US",
            "telephone_number": "256-356-4982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 Highway 278 E Ste A",
            "address_purpose": "LOCATION",
            "city": "Amory",
            "state": "MS",
            "postal_code": "388215906",
            "country_code": "US",
            "telephone_number": "662-597-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDDUTH",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R871916",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-120828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Alabama
• State of Alabama Department of Public Health (Lamar County Home Care)
• State of Alabama Department of Public Health (Lamar County Home Care)
• State of Alabama Department of Public Health (Lamar County Home Care)
• State of Alabama Department of Public Health (Lamar County Health Dept Flu-Pneu)
• Terena Stidham
• Twin States Home Healthcare, Inc.
• Two Doc, PLLC (Environmental Solutions Clinic - Fort Payne)
• Vernon Medical Center
• Vernon Opco LLC (Convalescent Nursing and Rehab Center)

• Family Nurse Practitioner in Vernon, AL
• Providers in Vernon, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.