Individual provider Active NPI

Ashtin Danielle Nix, M.D.

  • Pediatrics Physician
  • Manchester, KY
National Provider Identifier
1780065391
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
52799 Issued in KY
Practice address
56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone
(606) 599-4080
Fax
(606) 598-1688
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LL38265 SC
Pediatrics Physician 208000000X 52799 KY Primary

Addresses

Primary practice location

56 Marie Langdon Dr
Manchester, KY 40962-6329

Mailing address

509 Memorial Dr
Ste 2
Manchester, KY 40962-6196
Phone (606) 598-5104

Other practice location 1

701 Grove Rd
Balcony Suite 5
Greenville, SC 29605-4210
Phone (864) 455-7895

Other practice location 2

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104 ext. 4188

Other practice location 3

102 Professional Dr Ste 2
London, KY 40741-8857
Phone (606) 878-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813002268 KY Practitioner - Pediatric Medicine 8123335007 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52799KYMDPediatrics Physician
LL38265SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital, Inc. Current Accepting new patients
Memorial Hospital, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Memorial Hospital Inc. Pediatrics CurrentSince Aug 1, 2019 Accepting new patients
Memorial Hospital, Inc. Past Accepting new patients

Locations

102 Professional Dr
#2
London, KY 40741
Phone (606) 598-4500

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

509 Memorial Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-4384

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

Interoperability endpoints

  • Direct secure messaging: anix659306@adventhealth.direct-ci.com

Organizations & group practices 4

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1780065391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR",
            "address_2": "STE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626329",
            "telephone_number": "606-599-4080",
            "fax_number": "606-598-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_2": "Balcony Suite 5",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-7895",
            "fax_number": "864-455-7807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Marie Langdon Dr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "KY",
            "postal_code": "409626388",
            "country_code": "US",
            "telephone_number": "606-598-5104 x4188",
            "fax_number": "606-598-0983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Professional Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407418857",
            "country_code": "US",
            "telephone_number": "606-878-9611",
            "fax_number": "606-878-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "ASHTIN",
        "middle_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL38265",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "52799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.