NPIMap

Individual provider Active NPI

Ashley Stroud, NP-C

  • Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1457845240
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
54690 Issued in ID
Practice address
714 W Appleway Ave Ste 200
Coeur D Alene, ID 83814-9330
Phone
(208) 665-1552
NPI assigned
Jun 15, 2018
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60865071 WA
Nurse Practitioner 363L00000X 54690 ID Primary

Addresses

Primary practice location

714 W Appleway Ave Ste 200
Coeur D Alene, ID 83814-9330

Mailing address

1502 Locust St N Ste 600
Twin Falls, ID 83301-4164
Phone (208) 734-6091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190608000081 ID Practitioner - Nurse Practitioner 1557611415 Reassigns benefits to 1 organization
I20231014000312 MT Practitioner - Nurse Practitioner 1557611415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carl Thornblade, MD, PLLCGroup PAC ID 3375613342, 3 clinicians

Practice addresses (Care Compare)

2801 Great Northern Loop
Suite 101
Missoula, MT 59808-1745
Phone (406) 728-6472

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
100
Improvement activities
40
Cost
61.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60865071WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy of Idaho Nurse Practitioner CurrentSince Jan 17, 2021 Accepting new patients
Asthma & Allergy of Idaho PLLC CurrentSince Apr 3, 2019 Accepting new patients
Carl Thornblade, MD, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1263 Bennett Ave
Ste 3
Burley, ID 83318
Phone (208) 678-1049

714 W Appleway Ave
Ste 200
Coeur D Alene, ID 83814
Phone (208) 665-1552

619 S Washington St
Ste 201
Moscow, ID 83843
Phone (208) 882-1777

1502 Locust St N
Ste 600
Twin Falls, ID 83301
Phone (208) 734-6091

800 Falls Ave
Ste 2
Twin Falls, ID 83301
Phone (208) 734-6091

2801 Great Northern Loop
Ste 101
Missoula, MT 59808
Phone (406) 728-6472

Organizations & group practices 4

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 11

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1457845240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LOCUST ST N STE 600",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014164",
            "telephone_number": "208-734-6091",
            "fax_number": "208-734-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W APPLEWAY AVE STE 200",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149330",
            "telephone_number": "208-665-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "ASHLEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60865071",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "54690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.