Individual provider Active NPI

Ashley Bailey Pool, CRNP

  • Acute Care Nurse Practitioner
  • Athens, AL
National Provider Identifier
1568427169
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-087387 Issued in AL
Practice address
7715 US Highway 72
Athens, AL 35611-8979
Phone
(256) 729-9477
Fax
(256) 216-9729
NPI assigned
Apr 18, 2006
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-087387 AL Primary

Addresses

Primary practice location

7715 US Highway 72
Athens, AL 35611-8979

Mailing address

7715 US Highway 72
Athens, AL 35611-8979
Phone (256) 729-9477

Other names 1

  • Ashley Bailey Wise Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20051101000705 AL Practitioner - Nurse Practitioner 8123045895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-087387ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Limestone Nephrology Associates PastSince Jul 23, 2023 Accepting new patients
Charles Anthony Gaputis PastSince Sep 28, 2017 Accepting new patients

Organizations & group practices 2

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1568427169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 US HIGHWAY 72",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356118979",
            "telephone_number": "256-729-9477",
            "fax_number": "256-216-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 US HIGHWAY 72",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356118979",
            "telephone_number": "256-729-9477",
            "fax_number": "256-216-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "ASHLEY",
        "middle_name": "BAILEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-087387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WISE",
            "middle_name": "BAILEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.