Individual provider Active NPI

Ashlea Gillick, CNP

  • Adult Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1497326979
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1076983 Issued in TX
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

Updated by the provider on May 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.