Individual provider Active NPI

Ashley Jeanne Earp, AUD, CCC-A

  • Audiologist
  • Nome, AK
National Provider Identifier
1407216120
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12280407-4101 Issued in UT
Practice address
1000 Greg Kruschek Ave
Nome, AK 99762-0966
Phone
(907) 443-3297
NPI assigned
Feb 24, 2016
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 12280407-4101 UT Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

1000 Greg Kruschek Ave
Nome, AK 99762-0966

Mailing address

PO Box 966
Nome, AK 99762-0966

Other practice location 1

24 S 500 E Apt 406
Salt Lake City, UT 84102-1011
Phone (301) 275-7747

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AEARP@direct.nshcorp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624001037 AK Practitioner - Qualified Audiologist 8426459744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12280407-4101UTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Jun 9, 2021 Accepting new patients
Norton Sound Health Corporation CurrentSince Aug 18, 2022 Accepting new patients
Norton Sound Health Corporation CurrentSince Jun 9, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aearp@direct.nshcorp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1407216120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREG KRUSCHEK AVE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966",
            "telephone_number": "907-443-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 S 500 E Apt 406",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841021011",
            "country_code": "US",
            "telephone_number": "301-275-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARP",
        "first_name": "ASHLEY",
        "middle_name": "JEANNE",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "12280407-4101",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AEARP@direct.nshcorp.org",
            "affiliation": "N",
            "address_1": "1000 Greg Kruschek Ave",
            "city": "Nome",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997620966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nome, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.