Individual provider Active NPI

Ashley R Sebastian, FNP-BC

  • Family Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1639018260
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
41936 Issued in TN
Practice address
427 N Willow Ave Ste C
Cookeville, TN 38501-2354
Phone
(931) 559-5959
Fax
(833) 992-2327
NPI assigned
Mar 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 41936 TN Primary

Addresses

Primary practice location

427 N Willow Ave Ste C
Cookeville, TN 38501-2354

Mailing address

427 N Willow Ave Ste C
Cookeville, TN 38501-2354
Phone (931) 559-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

475 Hillside Ave
Suite 4
Needham, MA 02494-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026015480TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Clinic PLLC Family CurrentSince Jun 16, 2026 Accepting new patients
Advanced Health Care LLC Family CurrentSince Jun 16, 2026 Accepting new patients

Locations

427 N Willow Ave
Ste C
Cookeville, TN 38501
Phone (931) 559-5959

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1639018260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N WILLOW AVE STE C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012354",
            "telephone_number": "931-559-5959",
            "fax_number": "833-992-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N WILLOW AVE STE C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012354",
            "telephone_number": "931-559-5959",
            "fax_number": "833-992-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "41936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.