Individual provider Active NPI

Ashley Renee Roeding

  • Nurse Practitioner
  • Newport, KY
National Provider Identifier
1386987568
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008030 Issued in KY
Practice address
130 Pavilion Pkwy
Newport, KY 41071-2998
Phone
(856) 652-7203
NPI assigned
Apr 5, 2013
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0029517 OH
Nurse Practitioner 363L00000X 71012174A IN
Nurse Practitioner 363L00000X 3008030 KY Primary
Family Nurse Practitioner 363LF0000X 1129920 KY

Addresses

Primary practice location

130 Pavilion Pkwy
Newport, KY 41071-2998

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Other practice location 1

3955 Eagle Creek Pkwy Ste C
Indianapolis, IN 46254-4692
Phone (888) 998-7337

Other practice location 2

9039 Springboro Pike Ste C
Miamisburg, OH 45342-5442
Phone (513) 916-4128

Other practice location 3

401 W Main St Ste 1810
Louisville, KY 40202-2927
Phone (270) 240-2585

Other practice location 4

2771 E US Highway 6 Ste B
Kendallville, IN 46755-9341
Phone (888) 998-7337

Other practice location 5

333 N Alabama St Ste 350
Indianapolis, IN 46204-2275
Phone (888) 998-7337

Other names 1

  • Ashley Renee Brill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20130615000069 KY Practitioner - Nurse Practitioner 0345489753 Reassigns benefits to 2 organizations
I20220617000328 OH Practitioner - Nurse Practitioner 0345489753 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1129920KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Health Ohio, LLC CurrentSince Mar 13, 2022 Accepting new patients
Take Care Health Kentucky, P.S.C. Family Past Accepting new patients
South Routt Medical Center Health Service District Past Accepting new patients

Locations

1125 17th St
Ste 1000
Denver, CO 80202
Phone (855) 962-4638

1600 Stout St
Ste 2000
Denver, CO 80202
Phone (720) 240-5760

9039 Springboro Pike
Ste C
Miamisburg, OH 45342
Phone (513) 916-4128

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7204/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1386987568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PAVILION PKWY",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712998",
            "telephone_number": "856-652-7203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 Eagle Creek Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462544692",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9039 Springboro Pike Ste C",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453425442",
            "country_code": "US",
            "telephone_number": "513-916-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Main St Ste 1810",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022927",
            "country_code": "US",
            "telephone_number": "270-240-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2771 E US Highway 6 Ste B",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467559341",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Alabama St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042275",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEDING",
        "first_name": "ASHLEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029517",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012174A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008030",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1129920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BRILL",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, KY

Sources for this page

Verify at the official NPI Registry.