Individual provider Active NPI

Ashley Leanne Bird, FNP-C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kingsport, TN
National Provider Identifier
1376133033
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
27035 Issued in TN
Practice address
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone
(423) 224-4000
NPI assigned
Jan 26, 2021
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27035 TN
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 27035 TN Primary

Addresses

Primary practice location

130 W Ravine Rd
Kingsport, TN 37660-3837

Mailing address

850 Topeka Dr
Mount Carmel, TN 37645-3153
Phone (423) 480-9885

Other practice location 1

105 W Stone Dr Ste 1F
Kingsport, TN 37660-3365
Phone (423) 392-2420

Other practice location 2

1754 US Highway 23 North
Weber City, VA 24290-7071
Phone (276) 386-5980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210222000617 TN Practitioner - Nurse Practitioner 9638584816 Reassigns benefits to 2 organizations
I20231006001902 VA Practitioner - Nurse Practitioner 9638584816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians
Dominion Health and Fitness, IncGroup PAC ID 3274570908, 71 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Suite 1F
Kingsport, TN 37660-3256
Phone (423) 230-2420

1754 US Hwy 23 N
Weber City, VA 24290-7071
Phone (276) 386-9771

4862 Dickenson Hwy
Clintwood, VA 24228-1810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27035TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Regional Emergency Physicians, PC Nurse Practitioner CurrentSince Jun 25, 2021 Accepting new patients
Holston Medical Group PC Nurse Practitioner CurrentSince Aug 7, 2023 Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 323-6900

105 W Stone Dr
Ste 1F
Kingsport, TN 37660
Phone (423) 230-2420

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648

495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700

1754 US Highway 23 North
Weber City, VA 24290
Phone (276) 386-5980

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1376133033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOPEKA DR",
            "city": "MOUNT CARMEL",
            "state": "TN",
            "postal_code": "376453153",
            "telephone_number": "423-480-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W RAVINE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603837",
            "telephone_number": "423-224-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W Stone Dr Ste 1F",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603365",
            "country_code": "US",
            "telephone_number": "423-392-2420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1754 US Highway 23 North",
            "address_purpose": "LOCATION",
            "city": "Weber City",
            "state": "VA",
            "postal_code": "242907071",
            "country_code": "US",
            "telephone_number": "276-386-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRD",
        "first_name": "ASHLEY",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27035",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "27035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.