Individual provider Active NPI

Ashanti Laresa Scott-Prince, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1528619855
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012560 Issued in NC
Practice address
1991 Fordham Dr Ste 201
Fayetteville, NC 28304-3774
Phone
(910) 491-1851
NPI assigned
Sep 27, 2019
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013001529 NC Practitioner - Nurse Practitioner 7911327911 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
5012560NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince May 9, 2025 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince May 9, 2025 Accepting new patients
Health Providers of America, LLC CurrentSince Mar 18, 2024 Accepting new patients
Eon Care Services, LLC CurrentSince Aug 6, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 30, 2024 Accepting new patients
Nurse Practitioner Group LLC CurrentSince Dec 12, 2022 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.

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

Verify at the official NPI Registry.