Individual provider Active NPI

Ashley Elizabeth Smith, NP

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1699253583
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008448A Issued in IN
Practice address
806 Jackson St
Columbus, IN 47201-6264
Phone
(812) 748-3412
Fax
(812) 748-3413
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 71008448A IN
Family Nurse Practitioner 363LF0000X 71008448A IN Primary

Addresses

Primary practice location

806 Jackson St
Columbus, IN 47201-6264

Mailing address

806 Jackson St
Columbus, IN 47201-6264
Phone (127) 483-4128

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.smith@premisehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181029001996 IN Practitioner - Nurse Practitioner 7517210198 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71008448AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana ENT, LLC Otolaryngology CurrentSince Jan 1, 2024 Accepting new patients
Little Clinic of in LLC Family CurrentSince Oct 10, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3060 N National Rd
Columbus, IN 47201
Phone (812) 314-7955

1655 N Gladstone Ave
Ste E
Columbus, IN 47201
Phone (812) 376-3071

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

1330 W Southport Rd
Indianapolis, IN 46217
Phone (317) 884-4250

Interoperability endpoints

  • Direct secure messaging: ashley.smith.1@12832.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12832/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1699253583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 JACKSON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016264",
            "telephone_number": "127-483-4128",
            "fax_number": "127-483-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 JACKSON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016264",
            "telephone_number": "812-748-3412",
            "fax_number": "812-748-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71008448A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008448A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.smith@premisehealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "misc",
            "address_1": "806 Jackson St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472016264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.