Individual provider Active NPI

Evan C Ashley, FNP

  • Family Nurse Practitioner
  • Jonesville, LA
National Provider Identifier
1730833443
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224268 Issued in LA
Practice address
1305 Fourth St
Jonesville, LA 71343-2123
Phone
(318) 403-6080
Fax
(318) 403-6087
NPI assigned
Feb 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 224268 LA Primary

Addresses

Primary practice location

1305 Fourth St
Jonesville, LA 71343-2123

Mailing address

1305 Fourth St
Jonesville, LA 71343-2123
Phone (318) 403-6080

Other identifiers 1

IdentifierTypeStateIssuer
2584235MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220513002024 LA Practitioner - Nurse Practitioner 5395122253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Tammany Emergency Physicians Group LLCGroup PAC ID 7214255967, 41 clinicians

Practice addresses (Care Compare)

211 4TH St
Alexandria, LA 71301-8421
Phone (318) 769-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224268LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Emergency Physicians Group LLC Single Specialty CurrentSince Feb 7, 2025 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

2929 Highway 190
Mandeville, LA 70471
Phone (985) 773-1550

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1730833443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FOURTH ST",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432123",
            "telephone_number": "318-403-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 FOURTH ST",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432123",
            "telephone_number": "318-403-6080",
            "fax_number": "318-403-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "EVAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2584235",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, LA

Sources for this page

Verify at the official NPI Registry.