Active NPI
Simone Sabion Ashford, LPN
- Licensed Practical Nurse
- Shallotte, NC
National Provider Identifier
1942933593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 27077805C
- Practice address
- 4437 Main St
Shallotte, NC 28470-4451 - Phone
- (910) 754-4449
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Shallotte, NC
- NPI 1033915509
-
- Community/Behavioral Health Agency
- Lexington, NC
- NPI 1639592900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27077805C | IN | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treatment Centers LLC | Current | Accepting new patients | |
| Treatment Centers LLC | Past | Accepting new patients |
Locations
4437 Main St
Shallotte, NC 28470
Phone (910) 617-0222
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27077805C | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4437 Main St
Shallotte, NC 28470-4451
Mailing address
4437 Main St
Shallotte, NC 28470-4451
Phone (910) 754-4449
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000000 | Medicaid | NC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2022.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1942933593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4437 MAIN ST",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704451",
"telephone_number": "910-754-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4437 MAIN ST",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704451",
"telephone_number": "910-754-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHFORD",
"first_name": "SIMONE",
"middle_name": "SABION",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IN",
"license": "27077805C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000000000",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.