Individual provider Active NPI

Ashley Tice Letson, CRNP

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1932798428
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-147215 Issued in AL
Practice address
707 W Market St Ste C
Athens, AL 35611-2463
Phone
(256) 444-1815
Fax
(256) 444-0385
NPI assigned
Jan 11, 2021
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 1-147215 AL Primary

Addresses

Primary practice location

707 W Market St Ste C
Athens, AL 35611-2463

Mailing address

662 County Road 251
Moulton, AL 35650-8570
Phone (256) 410-6547

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
I20210322001344 AL Practitioner - Nurse Practitioner 2466869318 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
HH Tennessee Valley Pain Center CurrentSince Mar 15, 2021 Accepting new patients
Comprehensive Primary & Urgent Care of Alabama, LLC CurrentSince Mar 6, 2024 Accepting new patients
Tennessee Valley Pain Consultants, PC PastSince Jan 1, 2021 Accepting new patients

Locations

707 W Market St
Athens, AL 35611
Phone (256) 233-5145

707 W Market St
Ste C
Athens, AL 35611
Phone (256) 216-6500

201 Governors Dr SW
Ste 400
Huntsville, AL 35801
Phone (256) 265-7246

Organizations & group practices 3

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1932798428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 COUNTY ROAD 251",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356508570",
            "telephone_number": "256-410-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W MARKET ST STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112463",
            "telephone_number": "256-444-1815",
            "fax_number": "256-444-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETSON",
        "first_name": "ASHLEY",
        "middle_name": "TICE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.