Active NPI
Ashley Ann Bluml Earll
- Social Worker
- Ithaca, NY
National Provider Identifier
1306374244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103464-1
- Practice address
- 127 W State St FL 1
Ithaca, NY 14850-5474 - Phone
- (607) 273-7494
- NPI assigned
- May 23, 2017
- Last updated
- Apr 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103464-1 | NY | Primary |
Addresses
Primary practice location
127 W State St FL 1
Ithaca, NY 14850-5474
Mailing address
127 W State St FL 1
Ithaca, NY 14850-5474
Phone (607) 273-7494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
25055 W Valley Pkwy
Suite 102
Olathe, KS 66061-8573
Phone (913) 494-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103464-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Archer, LLC | Current | Accepting new patients |
Locations
25055 W Valley Pkwy
Ste 102
Olathe, KS 66061
Phone (913) 494-8550
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1306374244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W STATE ST FL 1",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505474",
"telephone_number": "607-273-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W STATE ST FL 1",
"city": "ITHACA",
"state": "NY",
"postal_code": "148505474",
"telephone_number": "607-273-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLL",
"first_name": "ASHLEY",
"middle_name": "ANN BLUML",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103464-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.