Individual provider Active NPI

Ashley Y Luckett, FNP-C

  • Family Nurse Practitioner
  • Benson, NC
National Provider Identifier
1639854292
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018291 Issued in NC
Practice address
3333 NC Hwy 242 North
Benson, NC 27504-7844
Phone
(919) 894-2011
Fax
(919) 894-7645
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 5018291 NC Primary

Addresses

Primary practice location

3333 NC Hwy 242 North
Benson, NC 27504-7844

Mailing address

175 Raptor Dr
Smithfield, NC 27577-6511
Phone (919) 274-6080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240208001989 NC Practitioner - Nurse Practitioner 4981066123 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5018291NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Area Medical Center, Inc. CurrentSince Nov 27, 2023 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince May 20, 2024 Accepting new patients

Locations

3333 NC Highway 242 N
Benson, NC 27504
Phone (910) 894-2011

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

3734 Reynolda Rd
Winston Salem, NC 27106
Phone (336) 601-9720

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1639854292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 RAPTOR DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275776511",
            "telephone_number": "919-274-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NC HWY 242 NORTH",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047844",
            "telephone_number": "919-894-2011",
            "fax_number": "919-894-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "ASHLEY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.