Individual provider Active NPI

Ashley Undie, NP-C

  • Family Nurse Practitioner
  • Webster, TX
National Provider Identifier
1861022170
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010451 Issued in TX
Practice address
251 W Medical Center Blvd Ste 200
Webster, TX 77598-4242
Phone
(866) 552-4866
NPI assigned
Jan 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 916462 TX
Family Nurse Practitioner 363LF0000X 1010451 TX Primary

Addresses

Primary practice location

251 W Medical Center Blvd Ste 200
Webster, TX 77598-4242

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472

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
I20240417003673 TX Practitioner - Nurse Practitioner 3971942335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

251 W Medical Ctr Blvd
Suite 200
Webster, TX 77598-4242
Phone (866) 552-4866

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
916462TXMDRegistered Nurse
1010451TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC CurrentSince Apr 1, 2024 Accepting new patients
Interventional Partners PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

23510 Kingsland Blvd
Ste 100
Katy, TX 77494
Phone (214) 838-6440

4690 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (214) 838-6440

8000 Research Forest Dr
Ste 250
The Woodlands, TX 77382
Phone (281) 571-3543

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: ashley.undie.1@2477.direct.athenahealth.com

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": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1861022170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W MEDICAL CENTER BLVD STE 200",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984242",
            "telephone_number": "866-552-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDIE",
        "first_name": "ASHLEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "916462",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.