Individual provider Active NPI

Ashley Deloney Brooks, CRNP

  • Family Nurse Practitioner
  • Luverne, AL
National Provider Identifier
1992542492
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-198893 Issued in AL
Practice address
142 W 3Rd St
Luverne, AL 36049-1348
Phone
(205) 343-7300
Fax
(205) 343-7306
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 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 1-198893 AL Primary

Addresses

Primary practice location

142 W 3Rd St
Luverne, AL 36049-1348

Mailing address

732 Merriweather Rd
Enterprise, AL 36330-9316
Phone (334) 432-0428

Other practice location 1

206 S Palmer Ave
Georgiana, AL 36033-3300
Phone (205) 343-7300

Other identifiers 1

IdentifierTypeStateIssuer
1-198893OtherALLICENSE

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
I20241015000693 AL Practitioner - Nurse Practitioner 6709318827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Practice addresses (Care Compare)

142 W 3Rd St
Luverne, AL 36049-1348
Phone (205) 343-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-198893ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern NP Associates, LLC CurrentSince Aug 12, 2024 Accepting new patients

Locations

22969 Highway 25
Columbiana, AL 35051
Phone (205) 669-1712

206 S Palmer Ave
Georgiana, AL 36033
Phone (334) 365-7823

142 W 3rd St
Luverne, AL 36049
Phone (334) 335-5331

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

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, 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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1992542492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 MERRIWEATHER RD",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363309316",
            "telephone_number": "334-432-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W 3RD ST",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360491348",
            "telephone_number": "205-343-7300",
            "fax_number": "205-343-7306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 S Palmer Ave",
            "address_purpose": "LOCATION",
            "city": "Georgiana",
            "state": "AL",
            "postal_code": "360333300",
            "country_code": "US",
            "telephone_number": "205-343-7300",
            "fax_number": "205-343-7306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ASHLEY",
        "middle_name": "DELONEY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-198893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-198893",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, AL

Sources for this page

Verify at the official NPI Registry.