NPIMap

Individual provider Active NPI

Ashlea B Lamberth, NP

  • Nurse Practitioner
  • Portland, TN
National Provider Identifier
1700820388
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6807 Issued in TN
Practice address
307 S Broadway
Portland, TN 37148-1413
Phone
(615) 325-6755
Fax
(615) 325-6936
NPI assigned
Jun 15, 2006
Last updated
Jun 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6807 TN Primary

Addresses

Primary practice location

307 S Broadway
Portland, TN 37148-1413

Mailing address

307 S Broadway
Portland, TN 37148-1413
Phone (615) 325-6755

Other identifiers 1

IdentifierTypeStateIssuer
3902957MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000871 TN Practitioner - Nurse Practitioner 9537062765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland MedicalGroup PAC ID 0840677316, 5 clinicians

Practice addresses (Care Compare)

307 S Broadway
Portland, TN 37148-1413
Phone (615) 323-9158

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6807TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices, LLC CurrentSince Dec 20, 2017 Accepting new patients
Portland Medical CurrentSince Jun 1, 2022 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices, LLC Nurse Practitioner CurrentSince Dec 20, 2017 Accepting new patients
Sumner Physician Practices LLC PastSince Dec 1, 2019 Accepting new patients
Emergency Services Network, PLLC. Past Accepting new patients

Locations

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

307 S Broadway St
Portland, TN 37148
Phone (615) 323-9158

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1700820388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S BROADWAY",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481413",
            "telephone_number": "615-325-6755",
            "fax_number": "615-325-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S BROADWAY",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481413",
            "telephone_number": "615-325-6755",
            "fax_number": "615-325-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERTH",
        "first_name": "ASHLEA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "6807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3902957",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TN

Sources for this page

Verify at the official NPI Registry.