Active NPI
Ashley Longstreet
- Community/Behavioral Health Agency
- Memphis, TN
National Provider Identifier
1346893666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1000000024400
- Practice address
- 3340 Poplar Ave Ste 120
Memphis, TN 38111-4657 - Phone
- (901) 643-1843
- Fax
- (901) 284-0854
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1000000024400 | TN | Primary |
| Home Health Agency | 251E00000X | 190002954 | TN |
Addresses
Primary practice location
3340 Poplar Ave Ste 120
Memphis, TN 38111-4657
Mailing address
3340 Poplar Ave Ste 120
Memphis, TN 38111-4657
Phone (901) 643-1843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190002954 | TN | MD | Home Health Agency |
| 1000000024400 | TN | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594425600000",
"number": "1346893666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 POPLAR AVE STE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381114657",
"telephone_number": "901-643-1843",
"fax_number": "901-284-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 POPLAR AVE STE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381114657",
"telephone_number": "901-643-1843",
"fax_number": "901-284-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGSTREET",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2020-07-11",
"certification_date": "2020-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "1000000024400",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TN",
"license": "190002954",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Longmire Counseling Services, LLC (You Matter Therapy Solutions)
- Longmire Health Group
- James Leroy Longmire II, FNP-BC
- Peter Longoria, LPC-MHSP (TEMP)
- Charles Daniel Longserre, PHARM.D.
- Tiffany Taylor Loo, MD
- Brooke Douglas Looney, PHARM D
- Robert Walker Loos, MS, LPC-MHSP
- Maria Evelyn Lopez Garcia, MD
- Sayuri Lopez Martinez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.