1558348052 NPI number — ASHLEY F SMALL APRN

Table of content: ASHLEY F SMALL APRN (NPI 1558348052)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558348052 NPI number — ASHLEY F SMALL APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMALL
Provider First Name:
ASHLEY
Provider Middle Name:
F
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FAUREST
Provider Other First Name:
ASHLEY
Provider Other Middle Name:
L.
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1558348052
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1215 21ST AVE S
Provider Second Line Business Mailing Address:
MCE SOUTH TOWER STE 4200
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37232-8774
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-322-3000
Provider Business Mailing Address Fax Number:
615-936-2667

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3601 TVC
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37232-5100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-322-3000
Provider Business Practice Location Address Fax Number:
615-936-2667
Provider Enumeration Date:
12/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  1099003 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: 4751P ARNP , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X , with the licence number: APN15747 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 102639 . This is a "SIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200544810 . This is a "MANAGED HEALTH SERVICES- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 78015781 . This is a "MEDICAID KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: P00893042 . This is a "RAILROAD MEDICARE- NNIKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 369417000 . This is a "PASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 500222351 . This is a "PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000604399 . This is a "ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000023035E . This is a "HUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 5781231 . This is a "CIGNA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 00533108 . This is a "MEDICARE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200544810 . This is a "ANTHEM INDIANA MEDICAID- NNIKY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200544810 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com