Individual provider Active NPI

Patricia Ashby

  • Clinical Social Worker
  • Johnston, IA
National Provider Identifier
1396765368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02556 Issued in IA
Practice address
5415 NW 88TH St
Ste 100
Johnston, IA 50131-2950
Phone
(515) 727-1338
Fax
(515) 727-1340
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 02556 IA Primary

Addresses

Primary practice location

5415 NW 88TH St
Ste 100
Johnston, IA 50131-2950

Mailing address

5415 NW 88TH St
Ste 100
Johnston, IA 50131-2950
Phone (515) 727-1338

Other identifiers 1

IdentifierTypeStateIssuer
37908OtherIAWELLMARK PROVIDER NUMBER

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 20, 2017 through Apr 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02556IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396765368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 NW 88TH ST",
            "address_2": "STE 100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312950",
            "telephone_number": "515-727-1338",
            "fax_number": "515-727-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 NW 88TH ST",
            "address_2": "STE 100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312950",
            "telephone_number": "515-727-1338",
            "fax_number": "515-727-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "02556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK PROVIDER NUMBER",
            "identifier": "37908",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.