Individual provider Active NPI

Ashley F Lusk, C.R.N.P.

  • Acute Care Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1619555265
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-135347 Issued in AL
Practice address
380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone
(256) 259-4444
Fax
(256) 218-3530
NPI assigned
Apr 1, 2021
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 1-135347 AL Primary

Addresses

Primary practice location

380 Woods Cove Rd
Scottsboro, AL 35768-2428

Mailing address

606 South St
Scottsboro, AL 35768-1636
Phone (256) 599-6386

Other practice location 1

524 1/2 Veterans Dr
Scottsboro, AL 35768-2129
Phone (256) 599-6386

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
I20211022000944 AL Practitioner - Nurse Practitioner 6800284936 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-135347ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Professional Services CurrentSince Jun 1, 2023 Accepting new patients
Scottsboro OB GYN Specialists LLC Current Accepting new patients

Locations

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

380 Woods Cove Rd
Ste B
Scottsboro, AL 35768
Phone (256) 259-0185

408 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5211

507 Harley St
Scottsboro, AL 35768
Phone (256) 259-0061

Organizations & group practices 4

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1619555265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 SOUTH ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357681636",
            "telephone_number": "256-599-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 WOODS COVE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682428",
            "telephone_number": "256-259-4444",
            "fax_number": "256-218-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 1/2 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682129",
            "country_code": "US",
            "telephone_number": "256-599-6386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSK",
        "first_name": "ASHLEY",
        "middle_name": "F",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-135347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.