Individual provider Active NPI

Ashlie Taressa Flynn, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Tooele, UT
National Provider Identifier
1972257483
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8994021-4405 Issued in UT
Practice address
2321 N 400 E Ste 200
Tooele, UT 84074-3440
Phone
(435) 249-0225
Fax
(601) 808-4381
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8994021-4405 UT Primary
Registered Nurse 163W00000X 8994021-3102 UT

Addresses

Primary practice location

2321 N 400 E Ste 200
Tooele, UT 84074-3440

Mailing address

2321 N 400 E Ste 200
Tooele, UT 84074-3440
Phone (435) 249-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317000632 UT Practitioner - Nurse Practitioner 2668846445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8994021-3102UTMDRegistered Nurse
8994021-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MMG Stansbury Family Practice LLC CurrentSince May 17, 2023 Accepting new patients

Locations

3950 Tealby Way
Ste 101
Erda, UT 84074
Phone (801) 827-0662

576 E Highway 138
Ste 310
Tooele, UT 84074
Phone (801) 456-2333

Interoperability endpoints

  • Direct secure messaging: ashlie.flynn.1@28984.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1972257483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 200",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743440",
            "telephone_number": "435-249-0225",
            "fax_number": "601-808-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 200",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743440",
            "telephone_number": "435-249-0225",
            "fax_number": "601-808-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ASHLIE",
        "middle_name": "TARESSA",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8994021-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8994021-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.