Active NPI
Ashley Galvez, NP
- Psychiatric/Mental Health Nurse Practitioner
- Big Stone Gap, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024188773
- 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
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 |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Corporation
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36869 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corpoartion | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
VA
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
TN
-
- Psychiatry Physician
- Big Stone Gap, VA
- NPI 1417683095
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1326058272
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.