Individual provider Active NPI

Ashley Marie Anastasio, LPN

  • Licensed Practical Nurse
  • Salem, OR
National Provider Identifier
1811436587
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201502856LPN Issued in OR
Practice address
2035 Davcor St SE
Salem, OR 97302-1595
Phone
(503) 576-4660
Fax
(503) 361-2688
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201502856LPN OR Primary

Addresses

Primary practice location

2035 Davcor St SE
Salem, OR 97302-1595

Mailing address

2035 Davcor St SE
Salem, OR 97302-1595
Phone (503) 576-4660

Other names 1

  • Ashley Marie Cox Former name

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

LicenseStateTypeSpecialty
201502856LPNORMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1811436587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 DAVCOR ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021595",
            "telephone_number": "503-576-4660",
            "fax_number": "503-361-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 DAVCOR ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021595",
            "telephone_number": "503-576-4660",
            "fax_number": "503-361-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIO",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201502856LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "COX",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.