Individual provider Active NPI

Ashlyn Nicole Morehouse

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1962126128
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2021104533 Issued in TN
Practice address
2408 Susannah St Ste 1
Johnson City, TN 37601-1765
Phone
(423) 434-6677
Fax
(423) 461-0000
NPI assigned
Sep 30, 2022
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2021104533 TN Primary
Family Nurse Practitioner 363LF0000X 32772 TN

Addresses

Primary practice location

2408 Susannah St Ste 1
Johnson City, TN 37601-1765

Mailing address

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000

Other identifiers 4

IdentifierTypeStateIssuer
1962126128MedicaidVA
32772OtherTNSTATE LICENSE
214272OtherTNSTATE LICENSE
Q078952MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20221109000234 TN Practitioner - Nurse Practitioner 2365819091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
East Tennessee Recovery PLLCGroup PAC ID 9436434909, 19 clinicians

Practice addresses (Care Compare)

2408 Susannah St
Suite 1
Johnson City, TN 37601-1765
Phone (423) 434-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021104533TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Recovery, PLLC CurrentSince Feb 19, 2024 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 24, 2022 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 24, 2022 Accepting new patients
Wellmont Medical Associates Inc Nurse Practitioner Current Accepting new patients
Regional Allergy & Asthma Center, PC Past Accepting new patients

Locations

2408 Susannah St
Ste 1
Johnson City, TN 37601
Phone (423) 282-5054

2428 Knob Creek Rd
Ste 201
Johnson City, TN 37604
Phone (423) 262-4400

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Organizations & group practices 5

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": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1962126128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 MEADOWVIEW PKWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607475",
            "telephone_number": "423-230-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SUSANNAH ST STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011765",
            "telephone_number": "423-434-6677",
            "fax_number": "423-461-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHOUSE",
        "first_name": "ASHLYN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "2021104533",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962126128",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "32772",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "214272",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q078952",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.