Individual provider Active NPI

Ashleigh Renee Williamson, APRN

  • Nurse Practitioner
  • Monticello, KY
National Provider Identifier
1508477209
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3014842 Issued in KY
Practice address
268 Rolling Hills Blvd
Monticello, KY 42633-9004
Phone
(606) 753-0293
Fax
(606) 753-0291
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3014842 KY Primary

Addresses

Primary practice location

268 Rolling Hills Blvd
Monticello, KY 42633-9004

Mailing address

PO Box 1737
Monticello, KY 42633-4737
Phone (606) 753-0293

Other practice location 1

1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431
Phone (606) 256-7488

Other identifiers 1

IdentifierTypeStateIssuer
7100687200MedicaidKY

Other names 1

  • Miss Ashleigh Renee Bullock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200831002138 KY Practitioner - Nurse Practitioner 0941627327 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Wound Care - Kentucky, LLCGroup PAC ID 2264874866, 11 clinicians
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians

Practice addresses (Care Compare)

2277 Thunderstick Dr
Suite 300
Lexington, KY 40505-4877
Phone (502) 552-3879

3499 Blazer Pkwy
Suite 300
Lexington, KY 40509-2798
Phone (888) 402-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014842KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Associates of de LLC Nurse Practitioner CurrentSince Jun 26, 2025 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Aug 14, 2020 Accepting new patients
Brock Medical, LLC Nurse Practitioner CurrentSince Aug 14, 2020 Accepting new patients
Rockcastle County Hospital, Inc. Nurse Practitioner CurrentSince Jan 3, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

192 Bacon Creek Rd
Corbin, KY 40701
Phone (606) 526-1900

3499 Blazer Pkwy
Ste 300
Lexington, KY 40509
Phone (859) 699-1803

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990

1770 Lake Cumberland Rd
Mount Vernon, KY 40456
Phone (606) 256-2195

106 Gover St
Somerset, KY 42501
Phone (606) 679-8331

2520 S Highway 27
Somerset, KY 42501
Phone (606) 416-5719

2520 S Highway 27
#1
Somerset, KY 42501
Phone (606) 416-5719

10250 US Highway 42
Union, KY 41091
Phone (502) 525-6511

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1508477209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1737",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426334737",
            "telephone_number": "606-753-0293",
            "fax_number": "606-753-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339004",
            "telephone_number": "606-753-0293",
            "fax_number": "606-753-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Lake Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "KY",
            "postal_code": "404568431",
            "country_code": "US",
            "telephone_number": "606-256-7488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ASHLEIGH",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100687200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "BULLOCK",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.