Individual provider Active NPI

Ashley Stines, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1497373328
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-157791 Issued in AL
Practice address
2731 Martin Luther King Blvd
Tuscaloosa, AL 35401-5235
Phone
(205) 758-6647
Fax
(205) 752-1517
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 1-157791 AL Primary

Addresses

Primary practice location

2731 Martin Luther King Blvd
Tuscaloosa, AL 35401-5235

Mailing address

2731 Martin Luther King Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 758-6647

Other identifiers 1

IdentifierTypeStateIssuer
8280944OtherALDRIVER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210817001408 AL Practitioner - Nurse Practitioner 8325443112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatley Health Services IncGroup PAC ID 8224921705, 84 clinicians

Practice addresses (Care Compare)

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 758-6647

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-157791ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Whatley Health Services Inc CurrentSince Aug 1, 2021 Accepting new patients
Whatley Health Services, Inc. Past Accepting new patients

Locations

200 Morrow Ave
Eutaw, AL 35462
Phone (205) 372-0011

800 Hall St
Greensboro, AL 36744
Phone (334) 624-0871

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

230 Hospital Dr
Vernon, AL 35592
Phone (205) 614-6060

415 Derby Dr
York, AL 36925
Phone (205) 392-9656

Interoperability endpoints

  • Direct secure messaging: astines599811@direct.ochin.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1497373328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 MARTIN LUTHER KING BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015235",
            "telephone_number": "205-758-6647",
            "fax_number": "205-752-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 MARTIN LUTHER KING BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015235",
            "telephone_number": "205-758-6647",
            "fax_number": "205-752-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINES",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-157791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "8280944",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "5005 Oscar Baxter Dr",
            "city": "Tuscaloosa",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354053698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.