Individual provider Active NPI

Ashley Nichole Self, NP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1487990859
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000016921 Issued in TN
Practice address
1819 W Clinch Ave Ste 100
Knoxville, TN 37916
Phone
(865) 524-5365
Fax
(865) 673-8007
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000016921 TN Primary

Addresses

Primary practice location

1819 W Clinch Ave Ste 100
Knoxville, TN 37916

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 243-8153

Other practice location 1

49 Cleveland St Ste 300
Crossville, TN 38555-2854
Phone (865) 483-8478

Other practice location 2

988 Oak Ridge Tpke Ste 100
Oak Ridge, TN 37830-6919
Phone (865) 838-4784

Other practice location 3

744 Middle Creek Rd Ste 100
Sevierville, TN 37862-5036
Phone (865) 524-5365

Other practice location 4

576 Ft Loudoun Med Ctr Dr Ste 100
Lenoir City, TN 37772-5676
Phone (865) 988-8667

Other practice location 5

6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235

Other practice location 6

9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205
Phone (865) 690-4861

Other identifiers 1

IdentifierTypeStateIssuer
1530802MedicaidTN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130213000598 TN Practitioner - Nurse Practitioner 2264686500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

1819 Clinch Ave
Knoxville, TN 37916-2435

6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

9430 Park W Blvd
Suite 235
Knoxville, TN 37923-4207
Phone (865) 690-4861

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000016921TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Clinics PC CurrentSince Jan 30, 2013 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Clinics PC Current Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Clinics PC CurrentSince Jan 30, 2013 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

49 Cleveland St
Ste 300
Crossville, TN 38555
Phone (865) 331-2020

1819 Clinch Ave
Ste 100
Knoxville, TN 37916
Phone (865) 524-5305

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235

9430 Park West Blvd
Ste 110
Knoxville, TN 37923
Phone (865) 690-7909

9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725

576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478

744 Middle Creek Rd
Ste 100
Sevierville, TN 37862
Phone (865) 524-5365

Interoperability endpoints

  • Direct secure messaging: ashley.self.p2@direct.toa.nextgenshare.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 4

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": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1487990859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-243-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W CLINCH AVE STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37916",
            "telephone_number": "865-524-5365",
            "fax_number": "865-673-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Cleveland St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385552854",
            "country_code": "US",
            "telephone_number": "865-483-8478",
            "fax_number": "865-483-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "988 Oak Ridge Tpke Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306919",
            "country_code": "US",
            "telephone_number": "865-838-4784",
            "fax_number": "865-483-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "744 Middle Creek Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625036",
            "country_code": "US",
            "telephone_number": "865-524-5365",
            "fax_number": "865-673-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 Ft Loudoun Med Ctr Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-988-8667",
            "fax_number": "865-988-8837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6484 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194863",
            "country_code": "US",
            "telephone_number": "865-633-0235",
            "fax_number": "865-602-7757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9430 Park West Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234205",
            "country_code": "US",
            "telephone_number": "865-690-4861",
            "fax_number": "865-560-8525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELF",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530802",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.