Ashlie Brooke Sides

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36413 Issued in TN

Practice address

408 Olivia LN
Soddy Daisy, TN 37379-4182

Phone

(423) 451-9572

NPI assigned

Oct 2, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in TN, AL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• River Region Psychiatry Associates LLC

  dba Ally Psychiatry

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497

  TN

  Medicare reassignment NPD
• River City Counseling PC

  • Mental Health Counselor
  • Hixson, TN
  • NPI 1528329505
  NPD (past)

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1871311225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 OLIVIA LN",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794182",
            "telephone_number": "423-451-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 OLIVIA LN",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373794182",
            "telephone_number": "423-451-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "ASHLIE",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "36413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ruiz, PHARMD
• William Schaening, DC
• Joseph Maturo Sease, DMD
• Mandy Louise Shearer, D.D.S.
• Robert V Shearer, DDS
• Latisha Monique Simmons, DSW
• Deidra Gayle Smith, RN
• Elizabeth Culbreath Smith, MSN, NP-C
• Jaclyn Brooke Smith, RN, CCM
• Juliana Sneed

• Psychiatry Physician in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.

Verify at the official NPI Registry.