Individual provider Active NPI

Ashlan Symone Powell, APRN

  • Gerontology Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1366161341
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024185124 Issued in VA
Practice address
2790 Godwin Blvd Ste 210
Suffolk, VA 23434-8172
Phone
(833) 510-4357
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024185124 VA
Gerontology Nurse Practitioner 363LG0600X 0024185124 VA Primary

Addresses

Primary practice location

2790 Godwin Blvd Ste 210
Suffolk, VA 23434-8172

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

420 N Center Dr Ste 141
Norfolk, VA 23502-4007
Phone (757) 937-9012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230908002078 VA Practitioner - Nurse Practitioner 6507220589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

2790 Godwin Blvd
Suite 210
Suffolk, VA 23434-8172
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024185124VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Sep 25, 2023 Accepting new patients
Brightview LLC CurrentSince Sep 25, 2023 Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

516 Innovation Dr
Ste 102
Chesapeake, VA 23320
Phone (757) 382-9400

209 Research Dr
Ste 102
Chesapeake, VA 23320

480 Mount Cross Rd
Danville, VA 24540

5610 Southpoint Centre Blvd
Fredericksburg, VA 22407
Phone (540) 207-5288

16 Pleasant Hill Rd
Harrisonburg, VA 22801
Phone (419) 546-0788

3704 Old Forest Rd
Lynchburg, VA 24501

1836 Virginia Ave
Martinsville, VA 24112
Phone (419) 580-1305

5001 W Village Green Dr
Ste 205
Midlothian, VA 23112
Phone (804) 744-6700

11745 Jefferson Ave
Ste 10B
Newport News, VA 23606
Phone (757) 315-6905

4140 Crossings Ct
Ste 101103
Prince George, VA 23875
Phone (757) 695-9406

1345 Plantation Rd NE
Roanoke, VA 24012
Phone (513) 843-7063

2790 Godwin Blvd
Ste 210
Suffolk, VA 23434
Phone (757) 934-3700

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

200 Faraday Plz
Winchester, VA 22603
Phone (724) 466-2434

4899 Prince William Pkwy
Woodbridge, VA 22192

Organizations & group practices 2

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1366161341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 210",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348172",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Center Dr Ste 141",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024007",
            "country_code": "US",
            "telephone_number": "757-937-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ASHLAN",
        "middle_name": "SYMONE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024185124",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024185124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.