Eursel Nicole Ashford, COSMETOLOGIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

62684 Issued in SC

Practice address

128 S Assembly St
Columbia, SC 29201-4545

Phone

(803) 397-4216

Fax

(803) 232-7944

NPI assigned

Dec 11, 2017

Reactivated

Apr 25, 2018

Last updated

Mar 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1578078663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 ROSEBROOK DR",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290618389",
            "telephone_number": "803-397-4216",
            "fax_number": "803-232-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S ASSEMBLY ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292014545",
            "telephone_number": "803-397-4216",
            "fax_number": "803-232-7944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Rosebrook Dr",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "SC",
            "postal_code": "290618389",
            "country_code": "US",
            "telephone_number": "803-665-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHFORD",
        "first_name": "EURSEL",
        "middle_name": "NICOLE",
        "credential": "COSMETOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2019-03-19",
        "deactivation_date": "2018-03-19",
        "reactivation_date": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": "62684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAIRPIECE FOR ALOPECIA",
            "identifier": "S8095",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HAIR LOSS SPECIALIST",
            "identifier": "1744P3200X",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL UNIT",
            "identifier": "A9272",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRANIAL PROSTHESIS",
            "identifier": "A9282",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asclepius LLC
• Winans Ellis Ash Jr., CRNA
• Anthony Lawrence Asher, MD
• Aaron L Ashford I, LPC
• Adriana L Ashford, RBT
• Lakisha Martesa Ashford, CERTIFIED HAIR LOSS
• Ashford, Simmons, & Young Counseling Services, LLC (ASY Counseling Services)
• Ashford, Simmons, & Young Home Health Care Services
• Ashford, Simmons, & Young Psychological Services (ASY Counseling)
• Ashford,Simmons, & Young Counseling Services, LLC

• Prosthetics Case Management in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.