Active NPI
Ashanti Laresa Scott-Prince, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5012560
- Practice address
- 1991 Fordham Dr Ste 201
Fayetteville, NC 28304-3774 - Phone
- (910) 491-1851
- NPI assigned
- Sep 27, 2019
- Last updated
- Mar 25, 2024
- 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 | 5012560 | NC | Primary |
Addresses
Primary practice location
1991 Fordham Dr Ste 201
Fayetteville, NC 28304-3774
Mailing address
555 Fayetteville St Ste 201
Raleigh, NC 27601-3034
Phone (919) 780-4178
Other practice location 1
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Phone (855) 984-5121
Other practice location 2
11230 Ballantyne Trace Ct
Charlotte, NC 28277-2791
Phone (864) 671-0600
Other practice location 3
555 Fayetteville St Ste 201
Raleigh, NC 27601-3034
Phone (919) 780-4178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012560 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainstreet and Kidsstreet of North Carolina PLLC | Current | Accepting new patients | |
| Mainstreet and Kidsstreet of North Carolina PLLC | Current | Accepting new patients | |
| Health Providers of America, LLC | Current | Accepting new patients | |
| Eon Care Services, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Nurse Practitioner Group LLC | Current | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
151 N Nob Hill Rd
Plantation, FL 33324
Phone (561) 549-9090
20451 Seneca Meadows Pkwy
Germantown, MD 20876
Phone (301) 515-2760
11230 Ballantyne Trace Ct
Charlotte, NC 28277
Phone (704) 341-1139
130 James Ave
Locust, NC 28097
Phone (704) 271-3777
160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288
286 W Millbrook Rd
Unit 1E
Raleigh, NC 27609
4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Locust, NC
- NPI 1144803040
-
- Urgent Care Clinic/Center
- Burlington, NC
- NPI 1043170558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1528619855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 FAYETTEVILLE ST STE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276013034",
"telephone_number": "919-780-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 FORDHAM DR STE 201",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043774",
"telephone_number": "910-491-1851"
}
],
"practiceLocations": [
{
"address_1": "160 Mine Lake Ct Ste 200",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276156417",
"country_code": "US",
"telephone_number": "855-984-5121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11230 Ballantyne Trace Ct",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282772791",
"country_code": "US",
"telephone_number": "864-671-0600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 Fayetteville St Ste 201",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276013034",
"country_code": "US",
"telephone_number": "919-780-4178",
"fax_number": "919-882-1662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT-PRINCE",
"first_name": "ASHANTI",
"middle_name": "LARESA",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2024-03-25",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.