Individual provider Active NPI

Ashley Blair, CRNP

  • Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1780077149
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-104324 Issued in AL
Practice address
121 N 20TH St
BLDG 6
Opelika, AL 36801-5449
Phone
(334) 749-3385
Fax
(334) 705-3304
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-104324 AL Primary

Addresses

Primary practice location

121 N 20TH St
BLDG 6
Opelika, AL 36801-5449

Mailing address

121 N 20TH St
BLDG 6
Opelika, AL 36801-5449
Phone (334) 749-3385

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
I20211015000582 AL Practitioner - Nurse Practitioner 4284032657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-104324ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Clinic PC CurrentSince Jul 7, 2025 Accepting new patients

Locations

121 N 20th St
Ste 6
Opelika, AL 36801
Phone (334) 749-3385

121 N 20th St
Ste 3
Opelika, AL 36801
Phone (334) 326-4957

Interoperability endpoints

  • Direct secure messaging: ashley.blair@scp.gwaydirect.com

Organizations & group practices 1

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1780077149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST",
            "address_2": "BLDG 6",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015449",
            "telephone_number": "334-749-3385",
            "fax_number": "334-705-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST",
            "address_2": "BLDG 6",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015449",
            "telephone_number": "334-749-3385",
            "fax_number": "334-705-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-104324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.