Individual provider Active NPI

Ashley Marie Steagall, AGNP-C

  • Gerontology Nurse Practitioner
  • Polkton, NC
National Provider Identifier
1396425393
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
STEA-4WC6Z Issued in NC
Practice address
2104 Winfield Rd
Polkton, NC 28135-9448
Phone
(704) 475-1035
NPI assigned
Jul 24, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X STEA-4WC6Z NC
Gerontology Nurse Practitioner 363LG0600X STEA-4WC6Z NC Primary

Addresses

Primary practice location

2104 Winfield Rd
Polkton, NC 28135-9448

Mailing address

2104 Winfield Rd
Polkton, NC 28135-9448
Phone (704) 475-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
STEA-4WC6ZNCMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1396425393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 WINFIELD RD",
            "city": "POLKTON",
            "state": "NC",
            "postal_code": "281359448",
            "telephone_number": "704-475-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 WINFIELD RD",
            "city": "POLKTON",
            "state": "NC",
            "postal_code": "281359448",
            "telephone_number": "704-475-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEAGALL",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "STEA-4WC6Z",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "STEA-4WC6Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polkton, NC

Sources for this page

Verify at the official NPI Registry.