NPIMap

Individual provider Active NPI

Ashton Nicole Breithaupt, DO

  • Nephrology Physician
  • Knoxville, TN
National Provider Identifier
1366896334
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3979 Issued in TN
Practice address
320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624
Phone
(865) 692-3462
Fax
(865) 670-6333
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 3979 TN Primary

Addresses

Primary practice location

320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624

Mailing address

320 Park 40 North Blvd
Suite a
Knoxville, TN 37923-3624
Phone (865) 692-3462

Other names 1

  • Ashton Neil Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220620002107 TN Practitioner - NephrologyPractitioner - Internal Medicine 6305135054 Reassigns benefits to 2 organizations
I20240422001012 VA Practitioner - Nephrology 6305135054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Kidney Care PCGroup PAC ID 5597728527, 8 clinicians

Practice addresses (Care Compare)

2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634
Phone 4232456000211

340 Anderson Hollow Rd
Suite 100
Norton, VA 24273-1100
Phone 4232456000211

Hospital & facility affiliations

  • FMC Bristol Dialysis facility, Bristol, TN, CCN 442519
  • FMC - Abingdon Dialysis facility, Abingdon, VA, CCN 492630
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

Merit-based Incentive Payment System (MIPS)

Final score
84.16 of 100Reported as group
Quality
50.68
Promoting interoperability
100
Improvement activities
40
Cost
79.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Health System Current Accepting new patients
Knoxville Kidney Center, PLLC Nephrology CurrentSince Aug 1, 2022 Accepting new patients
Regional Kidney Care, PC CurrentSince Apr 23, 2024 Accepting new patients

Locations

2002 Brookside Dr
Ste 102
Kingsport, TN 37660
Phone (423) 245-6000

320 N Park 40 Blvd
#A
Knoxville, TN 37923
Phone (865) 692-3462

340 Anderson Hollow Rd
#100
Norton, VA 24273
Phone (276) 679-7805

Interoperability endpoints

  • Direct secure messaging: abreithaupt63800@direct.acumenmd.com
  • Direct secure messaging: abreithaupt432665@balladhealth.medalliesdirect.net

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 9

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1366896334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARK 40 NORTH BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-670-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARK 40 NORTH BLVD",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233624",
            "telephone_number": "865-692-3462",
            "fax_number": "865-670-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITHAUPT",
        "first_name": "ASHTON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "3979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHTON",
            "last_name": "NEIL",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.