Individual provider Active NPI

Ashley Penn Ellis-Johnson, FNP-C

  • Family Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1689419590
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189140 Issued in VA
Practice address
8006 Discovery Dr Ste 400
Henrico, VA 23229-8600
Phone
(804) 256-8282
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 0024189140 VA Primary

Addresses

Primary practice location

8006 Discovery Dr Ste 400
Henrico, VA 23229-8600

Mailing address

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 256-8282

Other practice location 1

2035 Waterside Rd Ste 105
Prince George, VA 23875-1265
Phone (804) 256-8282

Other practice location 2

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 256-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240830001663 VA Practitioner - Nurse Practitioner 9133668445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians
Vitalcare Family LLCGroup PAC ID 6709132731, 29 clinicians

Practice addresses (Care Compare)

3000 G Stony Point Rd
Richmond, VA 23235-2349
Phone (804) 877-0008

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

8006 Discovery Dr
Suite 400
Henrico, VA 23229-8600
Phone (804) 256-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024189140VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Family LLC CurrentSince Aug 26, 2024 Accepting new patients
Nourish2Flourishrva LLC PastSince Jul 7, 2024 Accepting new patients

Locations

7300 Ashlake Pkwy
Chesterfield, VA 23832
Phone (804) 256-8282

7300 Ashlake Pkwy
Ste 200
Chesterfield, VA 23832
Phone (804) 256-8282

2035 Waterside Rd
#105
Prince George, VA 23875
Phone (804) 256-8282

8006 Discovery Dr
Ste 400
Richmond, VA 23229
Phone (804) 256-8282

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCGCBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1689419590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 DISCOVERY DR STE 400",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232298600",
            "telephone_number": "804-256-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Waterside Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751265",
            "country_code": "US",
            "telephone_number": "804-256-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 Ashlake Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238322827",
            "country_code": "US",
            "telephone_number": "804-256-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS-JOHNSON",
        "first_name": "ASHLEY",
        "middle_name": "PENN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.