Individual provider Active NPI

Ashley Brooke Parker, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1730725508
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-117514 Issued in AL
Practice address
1118 Ross Clark Cir Ste 303
Dothan, AL 36301-3034
Phone
(334) 794-3192
Fax
(877) 553-0033
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 1-117514 AL Primary

Addresses

Primary practice location

1118 Ross Clark Cir Ste 303
Dothan, AL 36301-3034

Mailing address

905 Main St
Ashford, AL 36312-4507
Phone (334) 701-8967

Other identifiers 1

IdentifierTypeStateIssuer
51244485OtherALBCBS AL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.maddox.1@3134.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200211001438 AL Practitioner - Nurse Practitioner 5193151165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Clinic, P.C.Group PAC ID 5991722076, 8 clinicians

Practice addresses (Care Compare)

1118 Ross Clark Cir
Suite 303
Dothan, AL 36301-3002
Phone (334) 794-3192

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Current Accepting new patients
Fairview Clinic, P.C. CurrentSince Sep 1, 2020 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority CurrentSince Sep 1, 2025 Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

201 Doctors Dr
Dothan, AL 36301
Phone (334) 794-6611

1118 Ross Clark Cir
Ste 303
Dothan, AL 36301
Phone (334) 794-3192

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3134/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ashley.maddox.1@3134.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1730725508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "city": "ASHFORD",
            "state": "AL",
            "postal_code": "363124507",
            "telephone_number": "334-701-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 303",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013034",
            "telephone_number": "334-794-3192",
            "fax_number": "877-553-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-117514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51244485",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.maddox.1@3134.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1118 Ross Clark Cir Ste 303",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363013034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.