Individual provider Active NPI

Ashley Susan Skrabanek, FNP-C

  • Family Nurse Practitioner
  • Tahoka, TX
National Provider Identifier
1841756491
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139136 Issued in TX
Practice address
2600 Lockwood St
Tahoka, TX 79373-4118
Phone
(806) 998-4533
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139136 TX Primary

Addresses

Primary practice location

2600 Lockwood St
Tahoka, TX 79373-4118

Mailing address

5417 89TH St
Lubbock, TX 79424-3523
Phone (469) 766-7298

Other names 1

  • Ashley Susan Iber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190430002480 TX Practitioner - Nurse Practitioner 7113269762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lynn County Hospital DistrictGroup PAC ID 9739149295, shared by 6 NPIs, 16 clinicians

Practice addresses (Care Compare)

2600 Lockwood St
Tahoka, TX 79373-4118
Phone 8069984533320

Hospital & facility affiliations

  • Lynn County Hospital District Hospital, Tahoka, TX, CCN 451351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139136TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn County Hospital District Family CurrentSince Mar 1, 2019 Accepting new patients
Lynn County Hospital District Current Accepting new patients
Lynn County Hospital District Family Past Accepting new patients
Lynn County Hospital District Past Accepting new patients
Lynnwood Assisted Living Past Accepting new patients
Lynn County Hospital District Family Past Accepting new patients

Locations

1104 N Avenue S
Post, TX 79356
Phone (806) 495-2853

2600 Lockwood St
Tahoka, TX 79373
Phone (806) 998-4533

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1841756491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 89TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243523",
            "telephone_number": "469-766-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LOCKWOOD ST",
            "city": "TAHOKA",
            "state": "TX",
            "postal_code": "793734118",
            "telephone_number": "806-998-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRABANEK",
        "first_name": "ASHLEY",
        "middle_name": "SUSAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "IBER",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tahoka, TX

Sources for this page

Verify at the official NPI Registry.