Individual provider Active NPI

Ashley N Reese, RNCPNP

  • Critical Care Pediatric Nurse Practitioner
  • Festus, MO
National Provider Identifier
1477063253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
2017035765 Issued in MO
Practice address
35 Goodwin Dr
Festus, MO 63028-4122
Phone
(636) 933-4141
Fax
(636) 931-7007
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X 2017035765 MO Primary

Addresses

Primary practice location

35 Goodwin Dr
Festus, MO 63028-4122

Mailing address

35 Goodwin Dr
Festus, MO 63028-4122
Phone (636) 933-4141

Other practice location 1

1309 Maple St
Farmington, MO 63640-7641
Phone (573) 756-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171229000419 MO Practitioner - Nurse Practitioner 6507124237 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Mines Health Center CurrentSince Dec 1, 2017 Accepting new patients
Great Mines Health Center CurrentSince Dec 1, 2017 Accepting new patients
Great Mines Health Center Past Accepting new patients
Great Mines Health Center PastSince Jun 6, 2021 Accepting new patients
Great Mines Health Center PastSince Jun 22, 2021 Accepting new patients
Great Mines Health Center PastSince Jun 22, 2021 Accepting new patients
Great Mines Health Center PastSince Oct 2, 2022 Accepting new patients
Great Mines Health Center PastSince Sep 25, 2022 Accepting new patients
Great Mines Health Center PastSince Oct 2, 2022 Accepting new patients
Great Mines Health Center PastSince Jun 22, 2021 Accepting new patients
Great Mines Health Center PastSince Mar 21, 2021 Accepting new patients
Great Mines Health Center PastSince Aug 3, 2025 Accepting new patients
Ccpartners LLC Past Accepting new patients
Great Mines Health Center PastSince Jun 22, 2021 Accepting new patients

Locations (25 of 36)

10047 Diamond Rd
Rm 2
Cadet, MO 63630

10047 Diamond Rd
Ste 809
Cadet, MO 63630

10047 Diamond Rd
Rm 809
Cadet, MO 63630
Phone (573) 438-4982

1 Black Knight Dr
Ste 1
Farmington, MO 63640

506 S Fleming St
Ofc A8
Farmington, MO 63640

1 Black Knight Dr
Rm 1
Farmington, MO 63640

1040 Forster St
Rm E2A
Farmington, MO 63640

608 Pine St
Ofc 2
Farmington, MO 63640

209 W College St
Farmington, MO 63640
Phone (573) 701-1370

103 Murphy Ave
Rm C2
Farmington, MO 63640

1040 Forster St
Farmington, MO 63640
Phone (573) 701-1340

708 S Fleming St
Farmington, MO 63640
Phone (573) 701-1340

9 Summit Dr
Ofc B14
Farmington, MO 63640

209 W College St
Rm K19
Farmington, MO 63640

9 Summit Dr
Farmington, MO 63640
Phone (573) 701-1360

506 S Fleming St
Farmington, MO 63640

1401 Maple St
Farmington, MO 63640
Phone (573) 664-1100

103 Murphy Ave
Farmington, MO 63640
Phone (573) 701-1350

206 Church St
#4
Leadwood, MO 63653

206 Church St
Leadwood, MO 63653

1124 Main St
Ste NB103
Leadwood, MO 63653

512 State St
Ste 101
Mineral Point, MO 63660

116 Rebel Dr
Ste 201
Park Hills, MO 63601

625 Chariton Ave
Rm 103
Park Hills, MO 63601

412 W Fite St
Rm 5
Park Hills, MO 63601

Interoperability endpoints

  • Direct secure messaging: ashley.reese@gmhc.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477063253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GOODWIN DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284122",
            "telephone_number": "636-933-4141",
            "fax_number": "636-931-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GOODWIN DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284122",
            "telephone_number": "636-933-4141",
            "fax_number": "636-931-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636407641",
            "country_code": "US",
            "telephone_number": "573-756-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "RNCPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MO",
            "license": "2017035765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.