Individual provider Active NPI

Ashley Elizabeth Tewksbury, LPN

  • Licensed Practical Nurse
  • Walpole, MA
National Provider Identifier
1922861624
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN92360 Issued in MA
Practice address
15 Pheasant Hill Rd
Walpole, MA 02081-2221
Phone
(617) 293-8256
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN92360 MA Primary

Addresses

Primary practice location

15 Pheasant Hill Rd
Walpole, MA 02081-2221

Mailing address

15 Pheasant Hill Rd
Walpole, MA 02081-2221
Phone (617) 293-8256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LN92360MAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1922861624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PHEASANT HILL RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812221",
            "telephone_number": "617-293-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PHEASANT HILL RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812221",
            "telephone_number": "617-293-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWKSBURY",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN92360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.