Active NPI
Pamela Ashburn, FNP-C
- Family Nurse Practitioner
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16907
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1530362 | Medicaid | TN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
Practice addresses (Care Compare)
225 N Willow Ave
Cookeville, TN 38501-2451
Phone (931) 528-8899
Hospital & facility affiliations
- Livingston Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16907 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Medical Center PC | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Cookeville, TN
- NPI 1619720406
-
- Rural Health Clinic/Center
- Byrdstown, TN
- NPI 1720802622
-
- Rural Health Clinic/Center
- Sparta, TN
- NPI 1831994235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.