Individual provider Active NPI

Ashley Renea Thorup, CPM, LLM

  • Lay Midwife
  • Fayetteville, AR
National Provider Identifier
1649023995
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
Practice address
544 N Timeless Dr
Fayetteville, AR 72704-7638
Phone
(479) 883-6499
Fax
(479) 765-1983
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X
Lay Midwife 175M00000X Primary

Addresses

Primary practice location

544 N Timeless Dr
Fayetteville, AR 72704-7638

Mailing address

544 N Timeless Dr
Fayetteville, AR 72704-7638
Phone (479) 883-6499

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1649023995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 N TIMELESS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047638",
            "telephone_number": "479-883-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 N TIMELESS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047638",
            "telephone_number": "479-883-6499",
            "fax_number": "479-765-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORUP",
        "first_name": "ASHLEY",
        "middle_name": "RENEA",
        "credential": "CPM, LLM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.