Ashley N Wilson, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25867 Issued in TN

Practice address

200 Nettleton Rd Ste 1
Harrogate, TN 37752-8260

Phone

(423) 419-5550

Fax

(833) 944-2041

NPI assigned

Jun 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Ashley N Smith Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livesay Family Medicine, PCGroup PAC ID 3678744430, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21267/brand/1/csg/1/fhir/r4
• Direct secure messaging: ashley.wilson.1@21267.direct.athenahealth.com

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.

• Livesay Family Medicine, PC

  • Family Medicine Physician
  • Harrogate, TN
  • NPI 1932488327
  Medicare reassignment Care Compare group NPD
• Appalachian Regional Healthcare, Inc.

  • Family Medicine Physician
  • Pennington Gap, VA
  • NPI 1063821288
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Faith Medical Center LLC

  • Family Medicine Physician
  • Manchester, KY
  • NPI 1689971970
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Claiborne Medical Center

  • General Acute Care Hospital
  • Tazewell, TN
  • NPI 1942205166
  Care Compare affiliation

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1356781900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NETTLETON RD STE 1",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528260",
            "telephone_number": "423-419-5550",
            "fax_number": "833-944-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NETTLETON RD STE 1",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528260",
            "telephone_number": "423-419-5550",
            "fax_number": "833-944-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172166",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.wilson.1@21267.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 Nettleton Rd Ste 1",
            "city": "Harrogate",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377528260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SMITH",
            "middle_name": "N",
            "prefix": "MRS.",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Webb
• Gage Hunter Cas Weddington
• Abby Michelle Wedolowski
• Brooke Williams, PTA
• Jerod K Williams
• Casey Wilson, APN
• Lauren Kristine Wilson, DPT
• Alec Wiscombe
• Daniel Raymond Wood
• Katelyn Woods, PA-C

• Family Nurse Practitioner in Harrogate, TN
• Providers in Harrogate, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.

Verify at the official NPI Registry.