Individual provider Active NPI

Ashley Kayleena Kaake

  • Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1679976088
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
265965 Issued in NC
Practice address
317 N King St Ste a
Hendersonville, NC 28792-4349
Phone
(828) 693-3344
Fax
(828) 692-2487
NPI assigned
Sep 30, 2014
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 265965 NC Primary
Gerontology Nurse Practitioner 363LG0600X 265965 NC

Addresses

Primary practice location

317 N King St Ste a
Hendersonville, NC 28792-4349

Mailing address

PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065

Other practice location 1

1998 Hendersonville Rd
Suite 31
Asheville, NC 28803-2349
Phone (828) 684-9588

Other identifiers 2

IdentifierTypeStateIssuer
NCK950AOtherNCMEDICARE PTAN
1679976088MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Dec 1, 2014 Accepting new patients
Henderson County Hospital Corporation CurrentSince Dec 1, 2014 Accepting new patients
Blue Sky, MD PC PastSince May 24, 2020 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 3

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1679976088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N KING ST STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924349",
            "telephone_number": "828-693-3344",
            "fax_number": "828-692-2487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1998 Hendersonville Rd",
            "address_2": "Suite 31",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032349",
            "country_code": "US",
            "telephone_number": "828-684-9588",
            "fax_number": "828-684-9626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAAKE",
        "first_name": "ASHLEY",
        "middle_name": "KAYLEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "265965",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "265965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCK950A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679976088",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.