Individual provider Active NPI

Ashley L Blaske, M.D.

  • Pediatric Rheumatology Physician
  • Johnson City, TN
National Provider Identifier
1427314616
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
54938 Issued in TN
Practice address
408 N State of Franklin Rd Ste 31a
Johnson City, TN 37604-6088
Phone
(423) 431-4946
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 54938 TN
Pediatrics Physician 208000000X 54938 TN
Pediatric Rheumatology Physician 2080P0216X 54938 TN Primary

Addresses

Primary practice location

408 N State of Franklin Rd Ste 31a
Johnson City, TN 37604-6088

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

329 N State Of Franklin Rd
Johnson City, TN 37604-6062
Phone (423) 979-4100

Other practice location 2

378 Marketplace Blvd Ste 31A
Johnson City, TN 37604-2011
Phone (423) 433-6370

Other practice location 3

378 Marketplace Blvd Ste 10A
Johnson City, TN 37604-2361
Phone (423) 433-6370

Other identifiers 1

IdentifierTypeStateIssuer
Q043733MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ablaske283083@balladhealth.medalliesdirect.net Direct Blue Ridge Medical Management C orporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200831000062 TN Practitioner - Rheumatology 5294038568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Louisville School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Education Assistance CorporationGroup PAC ID 3870491269, 168 clinicians
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

Practice addresses (Care Compare)

325 N State of Franklin Rd
FL 2
Johnson City, TN 37604-6092
Phone (423) 439-7280

408 N State of Franklin Rd
Suite 31B
Johnson City, TN 37604-6035
Phone (423) 431-4946

Hospital & facility affiliations

  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54938TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Education Assistance Corporation Pediatrics CurrentSince Oct 22, 2022 Accepting new patients
Wellmont Health System Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Sep 1, 2022 Accepting new patients
Blue Ridge Medical Management C Orporation Rheumatology CurrentSince Sep 1, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

329 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 439-7280

408 N State of Franklin Rd
Ste 31B
Johnson City, TN 37604
Phone (423) 431-4946

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

408 N State of Franklin Rd
Ste 31A
Johnson City, TN 37604
Phone (423) 431-4946

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200

325 N State of Franklin Rd
Fl 2
Johnson City, TN 37604
Phone (423) 439-7280

Interoperability endpoints

  • Direct secure messaging: ablaske283083@balladhealth.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1427314616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N STATE OF FRANKLIN RD STE 31A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046088",
            "telephone_number": "423-431-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046062",
            "country_code": "US",
            "telephone_number": "423-979-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Marketplace Blvd Ste 31A",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042011",
            "country_code": "US",
            "telephone_number": "423-433-6370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Marketplace Blvd Ste 10A",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042361",
            "country_code": "US",
            "telephone_number": "423-433-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLASKE",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TN",
            "license": "54938",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "54938",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "TN",
            "license": "54938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q043733",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ablaske283083@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Blue Ridge Medical Management C orporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "408 N State Of Franklin Rd Ste 31A",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.