Ashley Nicole Prince, DNP
Individual provider Active NPI Nurse Practitioner · Dallas, NC
NPI 1740938646 · NPPES record last updated Apr 30, 2022
Key facts
- NPI
- 1740938646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- PRIN-ETSUG (NC)
- Practice address
- 545 Lucky Way
Dallas, NC 28034-8689 - Phone
- (704) 524-1522
- NPI assigned
- Mar 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231213003899 | NC | Practitioner - Nurse Practitioner | 6800245028 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRIN-ETSUG | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Care Medical Clinic | Current |
Accepting new patients | |
| Amity Medical Group, Inc. | Current |
Accepting new patients | |
| First Care Medical Clinic, PA | Current |
Accepting new patients |
Locations
2300 Randolph Rd
Ste A
Charlotte, NC 28207
Phone (704) 372-9393
7945 N Tryon St
Ste 112
Charlotte, NC 28262
Phone (704) 394-8968
9835 Monroe Rd
Ste B
Charlotte, NC 28270
Phone (704) 208-4134
4651 Charlotte Park Dr
Ste 100
Charlotte, NC 28217
Phone (704) 461-0006
6010 E Wt Harris Blvd
Charlotte, NC 28215
Phone (704) 208-4134
824 Lower Dallas Hwy
Dallas, NC 28034
Phone (704) 208-4134
404 S Sutherland Ave
Monroe, NC 28112
Interoperability endpoints
- ashley.prince.1@12616.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | PRIN-ETSUG | NC | Yes |
Addresses
Primary practice location
545 Lucky Way
Dallas, NC 28034-8689
Mailing address
545 Lucky Way
Dallas, NC 28034-8689
Phone (704) 524-1522
Other providers in Dallas, NC
- Jeffrey Paulsen
- Kelly Jo Paxton
- Personal Home Care of North Carolina, LLC
- Gloria Penny Plyler
- Prestigious Home Health Care LLC
- Jennifer Propst
- Reach Rehabilitation & Family Counseling Services, Inc
- Recap Services, Inc
- Madison Richard
- Michael Andrew Robinson
All providers in Dallas, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.