Ashley M Willingham

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-166173 Issued in AL

Practice address

4715 Whitesburg Dr SE
Huntsville, AL 35802-1649

Phone

(256) 881-5151

Fax

(256) 880-3939

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Domzalski Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sportsmed Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1508947839
  Medicare reassignment NPD
• Sportsmed Orthopaedic Specialists, PC

  • Orthopaedic Surgery Physician
  • Athens, AL
  • NPI 1790826816
  NPD
• The Health Care Authority of the City of Huntsville

  • Occupational Medicine Clinic/Center
  • Madison, AL
  • NPI 1548074958
  NPD
• The Healthcare Authority of North Alabama

  • Occupational Medicine Clinic/Center
  • Madison, AL
  • NPI 1003283524
  NPD

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1639867211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021649",
            "telephone_number": "256-881-5151",
            "fax_number": "256-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021649",
            "telephone_number": "256-881-5151",
            "fax_number": "256-880-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9238 Madison Blvd",
            "address_2": "Building 1, Ste 200",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "35758",
            "country_code": "US",
            "telephone_number": "256-265-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLINGHAM",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-166173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DOMZALSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simone Leshay Williams
• Teresa Louise Williams, ALC
• Barry Lane Williamson, MD
• Cassandra Williamson, CCC/SLP
• Joan W Williamson, CRNP
• Emily Willingham
• Claire Elise Willis
• Jasmine Willis, PHARMD
• Kaitlyn Russell Willis, CRNP
• Kenneth Dean Willis, M.D.

• Family Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.