NPIMap

Individual provider Active NPI

Ashley Blackburn, CRNP

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1427822378
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP028633 Issued in PA
Practice address
1903 Morgantown Rd
Reading, PA 19607-9620
Phone
(610) 777-4040
Fax
(610) 777-5575
NPI assigned
Nov 10, 2023
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP028633 PA Primary

Addresses

Primary practice location

1903 Morgantown Rd
Reading, PA 19607-9620

Mailing address

1903 Morgantown Rd
Reading, PA 19607-9620
Phone (610) 777-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213001458 PA Practitioner - Nurse Practitioner 9931558103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannondell, Inc.Group PAC ID 9032141189, 19 clinicians

Practice addresses (Care Compare)

5000 Shannondell Dr
Audubon, PA 19403-5684
Phone (610) 728-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP028633PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shannondell, Inc. CurrentSince Jun 11, 2025 Accepting new patients
Integrated Medical Group P C Single Specialty CurrentSince Dec 4, 2023 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Dec 4, 2023 Accepting new patients
Shannondell, Inc. Single Specialty Current Accepting new patients
Shannondell Inc. CurrentSince Jun 11, 2025 Accepting new patients
Shannondell, Inc. Past Accepting new patients

Locations

20000 Shannondell Dr
Audubon, PA 19403
Phone (484) 392-4045

10000 Shannondell Dr
Norristown, PA 19403
Phone (610) 728-5236

5000 Shannondell Dr
Norristown, PA 19403
Phone (610) 664-2295

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

1903 Morgantown Rd
Reading, PA 19607
Phone (610) 777-4040

Interoperability endpoints

  • Direct secure messaging: ashley.blackburn.1@32778.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1427822378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MORGANTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196079620",
            "telephone_number": "610-777-4040",
            "fax_number": "610-777-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 MORGANTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196079620",
            "telephone_number": "610-777-4040",
            "fax_number": "610-777-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP028633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.