Individual provider Active NPI

Ashley Kingdon, MBHCA, LNC,BSN, RN,

  • Home Health Registered Nurse
  • Huron, SD
National Provider Identifier
1821616137
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R044464 Issued in SD
Practice address
1143 Lincoln Ave SW
Huron, SD 57350-3011
Phone
(605) 352-4663
Fax
(605) 352-1373
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R044464 SD
Continuing Education/Staff Development Registered Nurse 163WC1600X RO44464 SD
General Practice Registered Nurse 163WG0000X R044464 SD
Occupational Health Registered Nurse 163WX0106X RO44464 SD
Home Health Clinical Nurse Specialist 364SH0200X R044464 SD
Chore Provider 372500000X
Adult Companion 372600000X
Home Health Aide 374U00000X
Homemaker 376J00000X
Nurse's Aide 376K00000X
Home Health Registered Nurse 163WH0200X R044464 SD Primary

Addresses

Primary practice location

1143 Lincoln Ave SW
Huron, SD 57350-3011

Mailing address

1143 Lincoln Ave SW
Huron, SD 57350-3011
Phone (605) 352-4663

Other practice location 1

375 Dakota Ave S
Huron, SD 57350-2453
Phone (605) 353-4676

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R044464SDMDCommunity Health Registered Nurse
RO44464SDMDOccupational Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Health Solutions LLC Community Health Current Accepting new patients
Independent Health Solutions LLC Current Accepting new patients

Locations

1143 Lincoln Ave SW
Huron, SD 57350
Phone (605) 352-4663

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1821616137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 LINCOLN AVE SW",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503011",
            "telephone_number": "605-352-4663",
            "fax_number": "605-352-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 LINCOLN AVE SW",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503011",
            "telephone_number": "605-352-4663",
            "fax_number": "605-352-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Dakota Ave S",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "SD",
            "postal_code": "573502453",
            "country_code": "US",
            "telephone_number": "605-353-4676",
            "fax_number": "605-352-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGDON",
        "first_name": "ASHLEY",
        "credential": "MBHCA, LNC,BSN, RN,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SD",
            "license": "R044464",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "SD",
            "license": "RO44464",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "SD",
            "license": "R044464",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "SD",
            "license": "RO44464",
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "SD",
            "license": "R044464",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SD",
            "license": "R044464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.