Ashley Shavail Kelly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

801674 Issued in TX

Practice address

462 County Road 2102
Hughes Springs, TX 75656-4604

Phone

(903) 305-5142

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1861967598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 COUNTY ROAD 2102",
            "city": "HUGHES SPRINGS",
            "state": "TX",
            "postal_code": "756564604",
            "telephone_number": "903-305-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 COUNTY ROAD 2102",
            "city": "HUGHES SPRINGS",
            "state": "TX",
            "postal_code": "756564604",
            "telephone_number": "903-305-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ASHLEY",
        "middle_name": "SHAVAIL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "801674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hughes Springs LTC Partners, Inc
• J Ori LLC
• J. Rophe Healthcare, Inc.
• Cynthia Dale Johnson
• Taylor Jones
• Dominique Charese Lewis
• Latambra Nachoil Lewis
• Payton Elyce Marchand, CCC-SLP
• Med-Shop of Hughes Springs Inc
• Craig Parent, MCD, CCC-SLP

• Registered Nurse in Hughes Springs, TX
• Providers in Hughes Springs, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.