Individual provider Active NPI

Ashley Galvez, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Big Stone Gap, VA
National Provider Identifier
1346010477
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024188773 Issued in VA
Practice address
1980 Holton Ave E Ste 103
Big Stone Gap, VA 24219-3367
Phone
(276) 524-8100
Fax
(276) 524-8109
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188773 VA Primary

Addresses

Primary practice location

1980 Holton Ave E Ste 103
Big Stone Gap, VA 24219-3367

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 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

Enrollment IDStateProvider typePAC IDDetails
I20240126003205 VA Practitioner - Nurse Practitioner 7719330620 Reassigns benefits to 1 organization
I20260224000973 TN Practitioner - Nurse Practitioner 7719330620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

Practice addresses (Care Compare)

1980 Holton Ave E
Suite 103
Big Stone Gap, VA 24219-3367
Phone (423) 302-3480

2204 Pavilion Dr
Suite 107
Kingsport, TN 37660-4651
Phone (423) 302-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36869TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Feb 1, 2026 Accepting new patients
Wellmont Health System Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corpoartion CurrentSince Jan 14, 2024 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 14, 2024 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

2204 Pavilion Dr
Ste 107
Kingsport, TN 37660
Phone (423) 343-1442

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1980 Holton Ave E
Ste 103
Big Stone Gap, VA 24219
Phone (276) 523-8865

Interoperability endpoints

  • Direct secure messaging: aburacchio139257@balladhealth.medalliesdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1346010477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 HOLTON AVE E STE 103",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193367",
            "telephone_number": "276-524-8100",
            "fax_number": "276-524-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ",
        "first_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

Verify at the official NPI Registry.