Individual provider Active NPI

Pamela Ashburn, FNP-C

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1366798951
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16907 Issued in TN
Practice address
225 N Willow Ave Ste 3
Cookeville, TN 38501-2335
Phone
(931) 528-8899
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16907 TN Primary

Addresses

Primary practice location

225 N Willow Ave Ste 3
Cookeville, TN 38501-2335

Mailing address

225 N Willow Ave Ste 3
Cookeville, TN 38501-2453
Phone (931) 528-8899

Other identifiers 1

IdentifierTypeStateIssuer
1530362MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20121119000446 TN Practitioner - Nurse Practitioner 2163673229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cookeville Medical Center PCGroup PAC ID 0143125237, 9 clinicians

Practice addresses (Care Compare)

225 N Willow Ave
Cookeville, TN 38501-2451
Phone (931) 528-8899

Hospital & facility affiliations

  • Livingston Regional Hospital Hospital, Livingston, TN, CCN 440187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16907TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Medical Center PC CurrentSince Sep 30, 2022 Accepting new patients
Upper Cumberland Rural Health Clinic PLLC Past Accepting new patients
Upper Cumberland Rural Health Clinic PLLC Past Accepting new patients
Upper Cumberland Rural Health Clinic PLLC Past Accepting new patients

Locations

225 N Willow Ave
Ste 1
Cookeville, TN 38501
Phone (931) 372-8700

225 N Willow Ave
Ste 3
Cookeville, TN 38501
Phone (931) 528-8899

2546 Windle Community Rd
Cookeville, TN 38506
Phone (931) 498-4880

225 N Willow Ave
Cookeville, TN 38501
Phone (931) 372-8227

Interoperability endpoints

  • Direct secure messaging: pamela.ashburn.2@18192.direct.athenahealth.com

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.

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1366798951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N WILLOW AVE STE 3",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012453",
            "telephone_number": "931-528-8899",
            "fax_number": "931-520-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N WILLOW AVE STE 3",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012335",
            "telephone_number": "931-528-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBURN",
        "first_name": "PAMELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530362",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.