NPIMap

Individual provider Active NPI

Ashley Lynn Nichols, FNP-C

  • Family Nurse Practitioner
  • Timpson, TX
National Provider Identifier
1639619943
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APP133508 Issued in TX
Practice address
507 Jacob St
Timpson, TX 75975
Phone
(936) 254-3338
Fax
(936) 254-3339
NPI assigned
Mar 6, 2017
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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 APP133508 TX Primary

Addresses

Primary practice location

507 Jacob St
Timpson, TX 75975

Mailing address

PO Box 847522
Dallas, TX 75284-7522
Phone (903) 531-5000

Other practice location 1

507 Jacob St
Timpson, TX 75975-5255
Phone (936) 254-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329000203 TX Practitioner - Nurse Practitioner 1355626615 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APP133508TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trincare Inc Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 12, 2019 Accepting new patients
Texas Quick Care, LLC CurrentSince Feb 19, 2017 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Jan 12, 2019 Accepting new patients
Texas Quick Care, LLC CurrentSince Feb 19, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 12, 2019 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince May 14, 2018 Accepting new patients
North Texas Physician Services, PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

233 Hurst St
Center, TX 75935
Phone (936) 591-8171

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

12815 US Highway 84 E
Joaquin, TX 75954
Phone (936) 220-1442

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: anichols155637@christushealth.direct-ci.net

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1639619943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847522",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847522",
            "telephone_number": "903-531-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 JACOB ST",
            "city": "TIMPSON",
            "state": "TX",
            "postal_code": "75975",
            "telephone_number": "936-254-3338",
            "fax_number": "936-254-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Jacob St",
            "address_purpose": "LOCATION",
            "city": "Timpson",
            "state": "TX",
            "postal_code": "759755255",
            "country_code": "US",
            "telephone_number": "936-254-3338",
            "fax_number": "936-254-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "APP133508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timpson, TX

Sources for this page

Verify at the official NPI Registry.