Individual provider Active NPI

Ashley Lauren Hebbard, LSW

  • Social Worker
  • Minot, ND
National Provider Identifier
1760890388
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5002 Issued in ND
Practice address
6301 19TH Ave NW
Minot, ND 58703-8899
Phone
(701) 852-3628
Fax
(701) 852-1190
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5002 ND Primary

Addresses

Primary practice location

6301 19TH Ave NW
Minot, ND 58703-8899

Mailing address

PO Box 5007
Minot, ND 58702-5007
Phone (701) 852-3628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5002NDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1760890388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025007",
            "telephone_number": "701-852-3628",
            "fax_number": "701-852-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 19TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587038899",
            "telephone_number": "701-852-3628",
            "fax_number": "701-852-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBBARD",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.