Ashlyne Burris Anderson, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Concord, NC
NPI 1679133409 · NPPES record last updated Jun 24, 2019
Key facts
- NPI
- 1679133409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5011871 (NC)
- Practice address
- 101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781 - Phone
- (888) 849-7379
- Fax
- (855) 857-7333
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Eventus Wholehealth PLLC
Eventus WH Southeast, LLC
Practice addresses (Care Compare)
101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247
212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247
Hospital & facility affiliations
- Amedisys Home Health Care
- Suncrest Home Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827002646 | NC | Practitioner - Nurse Practitioner | 7315275450 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011871 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus WH Southeast, LLC | Current |
Accepting new patients | |
| Eventus WH PLLC Care, LLC | Current |
Accepting new patients | |
| Eventus Value Care, LLC | Current |
Accepting new patients | |
| Eventus Wholehealth, PLLC | Family | Current |
Accepting new patients |
Locations
2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217
212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5011871 | NC | Yes |
Addresses
Primary practice location
101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Mailing address
101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone (888) 849-7379
Other providers in Concord, NC
- Brianna Alvarez
- Christopher Ambrose
- American Family Spine and Health LLC
- Ankit Mahattej Amin
- Ishwari Amin
- Bridgette Jeannine Anderson
- Carson E Anderson
- Christy Lynn Anderson
- Coreen Ann Marie Anderson
- Corey Anderson
All providers in Concord, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.