Ashton Asbury
Individual provider Active NPI Certified Registered Nurse Anesthetist · Kingsport, TN
NPI 1508564501 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1508564501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 35500 (TN)
- Practice address
- 10415 Wallace Alley St
Kingsport, TN 37663-3936 - Phone
- (423) 390-0451
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Virginia Commonwealth University, School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Anesthesia PC
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451
Hospital & facility affiliations
- Johnson City Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240222003319 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7416391933 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001274465 | VA | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Ambulatory Surgery Center LLC | Current |
Accepting new patients | |
| Paragon Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Singing River Health System | Past |
Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 35500 | TN | Yes |
| Critical Care Medicine Registered Nurse | 163WC0200X | 0001274465 | VA |
Addresses
Primary practice location
10415 Wallace Alley St
Kingsport, TN 37663-3936
Mailing address
25515 Cornelius Dr
Abingdon, VA 24211-6360
Phone (276) 698-9638
Other practice location 1
25515 Cornelius Dr
Abingdon, VA 24211-6360
Phone (276) 698-9638
Other providers in Kingsport, TN
- Aaron Joseph Arroyave
- Arthritis Associates of Kingsport, PLLC
- Arthur Garrett, M.D., PH.D, Mpllc
- Abram Arwood
- Brittany Arwood
- Asbury, Inc.
- Issa Asfour
- Nathaniel Frederick Ashley
- Associated Neurologists of Kingsport
- Associated Orthopaedics of Kingsport PC
All providers in Kingsport, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.