Individual provider Active NPI

Ashley Diane Leon, MSN, FNP-BC

  • Nurse Practitioner
  • Jefferson City, TN
National Provider Identifier
1326496944
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
32666 Issued in TN
Practice address
1059 E Highway 11 E
Jefferson City, TN 37760-4910
Phone
(865) 375-6005
Fax
(865) 471-0244
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32666 TN Primary
Registered Nurse 163W00000X 0000206955 TN

Addresses

Primary practice location

1059 E Highway 11 E
Jefferson City, TN 37760-4910

Mailing address

1059 E Highway 11 E
Jefferson City, TN 37760-4910
Phone (865) 375-6005

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221000123 TN Practitioner - Nurse Practitioner 5991175697

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1059 E Hwy 11 E
Jefferson City, TN 37760-4910

420 W Morris Blvd
Suite 400a
Morristown, TN 37813-2262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0000206955TNMDRegistered Nurse
32666TNMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ashley.leon.1@3525.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1326496944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 E HIGHWAY 11 E",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604910",
            "telephone_number": "865-375-6005",
            "fax_number": "865-471-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 E HIGHWAY 11 E",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604910",
            "telephone_number": "865-375-6005",
            "fax_number": "865-471-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "ASHLEY",
        "middle_name": "DIANE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32666",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000206955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.