Individual provider Active NPI

Ashley Frey, CRNP

  • Family Medicine Physician
  • Hanceville, AL
National Provider Identifier
1770066185
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-139988 Issued in AL
Practice address
1009 Main St NW
Hanceville, AL 35077-7949
Phone
(256) 887-1571
Fax
(256) 887-1574
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-139988 AL Primary

Addresses

Primary practice location

1009 Main St NW
Hanceville, AL 35077-7949

Mailing address

1009 Main St NW
Hanceville, AL 35077-7949
Phone (256) 887-1571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190204000126 AL Practitioner - Nurse Practitioner 4789921412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-139988ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Internal Medicine, PC CurrentSince Jul 29, 2020 Accepting new patients
Hanceville Primary Healthcare, LLC PastSince Feb 10, 2018 Accepting new patients

Locations

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1770066185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 MAIN ST NW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350777949",
            "telephone_number": "256-887-1571",
            "fax_number": "256-887-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 MAIN ST NW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350777949",
            "telephone_number": "256-887-1571",
            "fax_number": "256-887-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-139988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanceville, AL

Sources for this page

Verify at the official NPI Registry.