Ashley Petersen

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

686 NW 9TH St
Ontario, OR 97914-1600

Phone

(541) 889-2490

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lifeways, Inc

  • Substance Abuse Rehabilitation Facility
  • Ontario, OR
  • NPI 1891222659
  NPD (past)
• Unio Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Ontario, OR
  • NPI 1477782431
  NPD (past)

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1548774391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 NW 9TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141600",
            "telephone_number": "541-889-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Ann Peavey, D.O.
• Alexandro A Pedroza, B.A.
• Amanda Pelayo, RMA
• Janette Lynn Pennington, CSWA
• Samantha Drey Perdue, QMHA
• Andrew Clair Peterson, M.D.
• Benjamin T Peterson, DDS
• Randolph E Peterson, MD
• Ashlee Nicole Petty
• Jeffrey F Phillips, MD

• Social Worker in Ontario, OR
• Providers in Ontario, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.