Individual provider Active NPI

Ashley Longstreet

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1346893666
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1000000024400 Issued in TN
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

Updated by the provider on Jul 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
190002954TNMDHome Health Agency
1000000024400TNMDCommunity/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

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.

Verify at the official NPI Registry.