Ashley Shook, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

76692 Issued in TN

Practice address

1950 Cook St Ste D
Dyersburg, TN 38024-1899

Phone

(731) 285-7999

Fax

(731) 285-6917

NPI assigned

Mar 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Benthal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• First Choice Medical Care PLLC

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1184625634
  NPD
• Independent Radiology Associates PLC

  • Diagnostic Radiology Physician
  • Dyersburg, TN
  • NPI 1194804906
  NPD (past)

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1750775482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 TWILIGHT DR",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241926",
            "telephone_number": "731-589-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 COOK ST STE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241899",
            "telephone_number": "731-285-7999",
            "fax_number": "731-285-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "ASHLEY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "76692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BENTHAL",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Scullin Schulze, PHARM D
• Select Physical Therapy Holdings
• Scott Jeffrey Self, DDS
• Shelley S Seratt, OT
• Emma Sue Sherrow, RN
• Krislyn Sills, DDS
• Dustin Sims
• Jan Allison Sims, FNP
• Zachary Hayden Sims, RN
• Skyline of Dyersburg Healthcare and Rehabilitation Center, LLC

• Licensed Practical Nurse in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.