Active NPI
Ashley Johnson, FNP
- Family Nurse Practitioner
- Thorndale, TX
National Provider Identifier
1518506849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 32916
- Practice address
- 200 Sydney
Thorndale, TX 76577-5432 - Phone
- (707) 837-6641
- NPI assigned
- Jan 3, 2020
- Last updated
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 32916 | TX | Primary |
Addresses
Primary practice location
200 Sydney
Thorndale, TX 76577-5432
Mailing address
4105 Bennedict LN
Austin, TX 78746-1920
Phone (707) 837-6641
Other practice location 1
4105 Bennedict Ln
Austin, TX 78746-1920
Phone (707) 837-6641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32916 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1518506849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 BENNEDICT LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787461920",
"telephone_number": "707-837-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SYDNEY",
"city": "THORNDALE",
"state": "TX",
"postal_code": "765775432",
"telephone_number": "707-837-6641"
}
],
"practiceLocations": [
{
"address_1": "4105 Bennedict Ln",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787461920",
"country_code": "US",
"telephone_number": "707-837-6641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ASHLEY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "32916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thorndale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.