Active NPI
Ashley Amber Bennett, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Frisco, TX
National Provider Identifier
1790499515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1097764
- Practice address
- 11330 Legacy Dr Ste 103
Frisco, TX 75033-1210 - Phone
- (469) 215-5913
- Fax
- (469) 777-4542
- NPI assigned
- Jan 6, 2023
- Last updated
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1097764 | TX | Primary |
Addresses
Primary practice location
11330 Legacy Dr Ste 103
Frisco, TX 75033-1210
Mailing address
11330 Legacy Dr Ste 103
Frisco, TX 75033-1210
Phone (469) 215-5913
Other names 1
- Ashley Amber McKeithen
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1097764 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Psychiatry PA | Psychiatric/Mental Health | Past | Accepting new patients |
| Foundations Counseling PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1790499515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11330 LEGACY DR STE 103",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331210",
"telephone_number": "469-215-5913",
"fax_number": "469-777-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 LEGACY DR STE 103",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331210",
"telephone_number": "469-215-5913",
"fax_number": "469-777-4542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ASHLEY",
"middle_name": "AMBER",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1097764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "MCKEITHEN",
"middle_name": "AMBER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.