Active NPI
Ashlea Gillick, CNP
- Adult Health Nurse Practitioner
- Austin, TX
National Provider Identifier
1497326979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1076983
- Practice address
- 3901 Spicewood Springs Rd # 201
Austin, TX 78759-8723 - Phone
- (877) 279-5960
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | R046824 | SD | |
| Adult Health Nurse Practitioner | 363LA2200X | CP002115 | SD | |
| Adult Health Nurse Practitioner | 363LA2200X | 1076983 | TX | Primary |
Addresses
Primary practice location
3901 Spicewood Springs Rd # 201
Austin, TX 78759-8723
Mailing address
11119 Alterra Pkwy
Austin, TX 78758-3156
Phone (605) 216-0456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1497326979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11119 ALTERRA PKWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583156",
"telephone_number": "605-216-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 SPICEWOOD SPRINGS RD # 201",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598723",
"telephone_number": "877-279-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLICK",
"first_name": "ASHLEA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "SD",
"license": "R046824",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SD",
"license": "CP002115",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1076983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.