Individual provider Active NPI

Ashley Mattioni Self, CRNP

  • Family Nurse Practitioner
  • Foley, AL
National Provider Identifier
1902254378
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-131706 Issued in AL
Practice address
1613 N McKenzie St
Foley, AL 36535-2247
Phone
(334) 437-3887
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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 1-131706 AL Primary

Addresses

Primary practice location

1613 N McKenzie St
Foley, AL 36535-2247

Mailing address

1613 N McKenzie St
Foley, AL 36535-2247
Phone (334) 437-3887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160802000176 AL Practitioner - Nurse Practitioner 8628361409 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-131706ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Alabama PLLC CurrentSince Jul 5, 2023 Accepting new patients
Immediate Care Foley LLC CurrentSince May 5, 2023 Accepting new patients
The Orthopaedic Group, P.C. CurrentSince Jan 7, 2017 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Feb 12, 2024 Accepting new patients
The Orthopaedic Group, PC CurrentSince Jan 7, 2017 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Feb 12, 2024 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

1265 S McKenzie St
Foley, AL 36535
Phone (251) 300-2770

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

Interoperability endpoints

  • Direct secure messaging: ashleyself@ics.allscriptsdirect.net
  • Direct secure messaging: ashley.self.1@22854.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1902254378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352247",
            "telephone_number": "334-437-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352247",
            "telephone_number": "334-437-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "ASHLEY",
        "middle_name": "MATTIONI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.