Individual provider Active NPI

Ashley P Evans

  • Psychiatric/Mental Health Nurse Practitioner
  • Waco, TX
National Provider Identifier
1366085953
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1060086 Issued in TX
Practice address
510 Austin Ave Ste 25515
Waco, TX 76701-2117
Phone
(254) 230-4345
Fax
(706) 243-4254
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X 919501 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1060086 TX Primary

Addresses

Primary practice location

510 Austin Ave Ste 25515
Waco, TX 76701-2117

Mailing address

231 Woodhaven TRL
MC Gregor, TX 76657-4135
Phone (706) 905-9327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260121002259 AL Practitioner - Nurse Practitioner 7315424389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Alabama Physicians, LLCGroup PAC ID 8820213309, 12 clinicians

Practice addresses (Care Compare)

2615 Hope Lane
Suite 200
Opelika, AL 36801
Phone (334) 528-3871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
919501TXMDPsychiatric/Mental Health Registered Nurse
1060086TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychlife Mental Wellness LLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
East Alabama Physicians, LLC Single Specialty CurrentSince Jan 12, 2026 Accepting new patients
East Alabama Physicians, LLC Single Specialty CurrentSince Jan 12, 2026 Accepting new patients
The East Alabama Health Care Authority PastSince Jan 12, 2026 Accepting new patients

Locations

2615 Hope Ln
Ste 100
Opelika, AL 36801
Phone (334) 528-1010

2615 Hope Ln
Ste 200
Opelika, AL 36801
Phone (334) 528-3871

510 Austin Ave
Waco, TX 76701
Phone (254) 224-5757

345 Owen Ln
Ste 144A
Waco, TX 76710
Phone (254) 405-1974

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1366085953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WOODHAVEN TRL",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766574135",
            "telephone_number": "706-905-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 AUSTIN AVE STE 25515",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012117",
            "telephone_number": "254-230-4345",
            "fax_number": "706-243-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ASHLEY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "919501",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1060086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.