Active NPI
Ashley Simone Love, PMHNP, RXN
- Psychiatric/Mental Health Nurse Practitioner
- Boulder, CO
National Provider Identifier
1942607825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201807763NP-PP
- Practice address
- 4801 Riverbend Rd # 300
Boulder, CO 80301-2613 - Phone
- (303) 415-8629
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1630389 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 991543 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ML3610121 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201807763NP-PP | OR | Primary |
Addresses
Primary practice location
4801 Riverbend Rd # 300
Boulder, CO 80301-2613
Mailing address
66 Club Rd Ste 160
Eugene, OR 97401-2439
Other practice location 1
515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 683-7222
Other practice location 2
66 Club Rd Ste 160
Eugene, OR 97401-2439
Phone (541) 345-1722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419566YKZ4 | Other | MEDICARE NUMBER |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1630389 | CO | MD | Registered Nurse |
| 991543 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 201807763NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1942607825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CLUB RD STE 160",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 RIVERBEND RD # 300",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012613",
"telephone_number": "303-415-8629"
}
],
"practiceLocations": [
{
"address_1": "515 28 3/4 Rd",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815015016",
"country_code": "US",
"telephone_number": "970-683-7222",
"fax_number": "970-683-7276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "66 Club Rd Ste 160",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974012439",
"country_code": "US",
"telephone_number": "541-345-1722",
"fax_number": "541-485-7049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "ASHLEY",
"middle_name": "SIMONE",
"credential": "PMHNP, RXN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1630389",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "991543",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "ML3610121",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201807763NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "419566YKZ4",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.