Ashley Victory, APN
Individual provider Active NPI Family Nurse Practitioner · Columbia, TN
NPI 1770028656 · NPPES record last updated Dec 30, 2016
Key facts
- NPI
- 1770028656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 22116 (TN)
- Practice address
- 854 W James Campbell Blvd
Ste. 101a
Columbia, TN 38401-4659 - Phone
- (931) 388-3209
- Fax
- (931) 388-0105
- NPI assigned
- Dec 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170418000125 | TN | Practitioner - Nurse Practitioner | 5496031957 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22116 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates, PC | Family | Current |
Accepting new patients |
Locations
854 W James M Campbell Blvd
Ste 101A
Columbia, TN 38401
Phone (931) 388-3209
28 White Bridge Pike
Ste 300
Nashville, TN 37205
Phone (615) 356-4111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22116 | TN | Yes |
Addresses
Primary practice location
854 W James Campbell Blvd
Ste. 101a
Columbia, TN 38401-4659
Mailing address
854 W James Campbell Blvd
Ste. 101a
Columbia, TN 38401-4659
Phone (931) 388-3209
Other providers in Columbia, TN
- Brittany Venere
- Lisa Vernon Barton
- Elizabeth Vernon
- Amy Elizabeth Vertrees
- Alicia Anne Victory
- Maliyah Villa
- Villages Child Development, LLC
- James Vincent
- Virginia M. Andrews
- Volunteer Homecare of Middle Tennessee Inc.
All providers in Columbia, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2016. 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.