Individual provider Active NPI

Ashley Brooke Van Lith, MSN, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1356936074
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024180599 Issued in VA
Practice address
201 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone
(804) 285-8206
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024180599 VA Primary

Addresses

Primary practice location

201 Wadsworth Dr
North Chesterfield, VA 23236-4510

Mailing address

247 Boxmere PL
Nashville, TN 37215-6130
Phone (781) 635-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 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
I20210422001142 VA Practitioner - Nurse Practitioner 3971911470 Reassigns benefits to 1 organization
I20240724004323 MA Practitioner - Nurse Practitioner 3971911470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Suburban Gastroenterology PCGroup PAC ID 9931194412, 50 clinicians

Practice addresses (Care Compare)

97 Libbey Pkwy
Suite 300
Weymouth, MA 02189-3110
Phone (781) 331-2922

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Suburban Gastroenterology, PC CurrentSince Jun 25, 2024 Accepting new patients
Gastrointestinal Specialists LLC CurrentSince Apr 16, 2021 Accepting new patients
Weymouth Endoscopy, LLC PastSince Jun 25, 2024 Accepting new patients

Locations

97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922

1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922

8266 Atlee Rd
Ste 133
Mechanicsville, VA 23116
Phone (804) 730-0792

201 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 289-1131

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230
Phone (804) 285-4465

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1356936074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BOXMERE PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156130",
            "telephone_number": "781-635-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364510",
            "telephone_number": "804-285-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LITH",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024180599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.