Active NPI
Ashley Lynne Pribble, DNP
- Gerontology Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 209.025374
- Practice address
- 200 E Pennsylvania Ave
Peoria, IL 61603-3089 - Phone
- (309) 624-4000
- Fax
- (309) 308-0223
- NPI assigned
- Oct 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 29852 | SC | |
| Gerontology Nurse Practitioner | 363LG0600X | 209.025374 | IL | Primary |
Addresses
Primary practice location
200 E Pennsylvania Ave
Peoria, IL 61603-3089
Mailing address
137 Langham CT
Morton, IL 61550-9542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.025374 | IL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services SC LLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Curana Health of South Carolina PC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361
255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1275915522
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1851016745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 LANGHAM CT",
"city": "MORTON",
"state": "IL",
"postal_code": "615509542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E PENNSYLVANIA AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033089",
"telephone_number": "309-624-4000",
"fax_number": "309-308-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIBBLE",
"first_name": "ASHLEY",
"middle_name": "LYNNE",
"name_prefix": "Miss",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SC",
"license": "29852",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209.025374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.