ASHLEY NICHOLE SELF (NPI# 1487990859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487990859 |
| Entity Type | Individual |
| Full Name | ASHLEY NICHOLE SELF |
| Credential | NP |
| Practice Address |
1819 W Clinch Ave Ste 100 Knoxville TN 37916 |
| Mailing Address |
Po Box 32569 Knoxville TN 37930-2569 |
| Practice Telephone | 8655245365 |
| Practice Fax Number | 8656738007 |
| Mailing Telephone | 8656940062 |
| Mailing Fax Number | 8656738007 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000016921 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1530802 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 744 Middle Creek Rd Ste 100, Sevierville, TN 378625036 | 8655245365 | 8656738007 |
| 9430 Park West Blvd Ste 130, Knoxville, TN 379234205 | 8656904861 | 8655608525 |
| 576 Ft Loudoun Med Ctr Dr Ste 100, Lenoir City, TN 377725676 | 8659888667 | 8659888837 |
| 6484 Kingston Pike, Knoxville, TN 379194863 | 8656330235 | 8656027757 |
| 988 Oak Ridge Tpke Ste 100, Oak Ridge, TN 378306919 | 8658384784 | 8654834194 |
| 49 Cleveland St Ste 300, Crossville, TN 385552854 | 8654838478 | 8654834194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952928533 | Ashley Self | Dietitian, Registered | 1410 Tusculum Blvd Ste 1700, Greeneville, TN 37745-5818 | 2020-06-30 |
| 1841815727 | Ashley Dawn Self | Case Manager/Care Coordinator | 191638 N 4110, Antlers, OK 74523-7452 | 2020-06-16 |
| 1083161889 | Ashley Self | Registered Nurse | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-09 |
| 1902254378 | Ashley Mattioni Self | Nurse Practitioner | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2016-05-26 |
| 1518314269 | Ashley Self | Family Medicine | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2016-05-23 |
| Street Address |
1819 W CLINCH AVE STE 100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174508808 | Edward Brantley Burns Jr. | Orthopaedic Surgery | 1819 W Clinch Ave Ste 100, Knoxville, TN 37916 | 2005-12-15 |
| 1861900870 | Hannah Grace Mabry | Physician Assistant | 1819 W Clinch Ave Ste 100, Knoxville, TN 37916-2435 | 2018-01-12 |
| 1881091262 | Cassandra J Laskowski | Nurse Practitioner | 1819 W Clinch Ave Ste 100, Knoxville, TN 37916 | 2014-12-01 |
| 1205038122 | Paul Franklin Yau | Orthopaedic Surgery | 1819 W Clinch Ave Ste 100, Knoxville, TN 37916-2435 | 2007-06-04 |
| 1437204096 | Tennessee Orthopaedic Clinics, PC | Orthopaedic Surgery | 1819 W Clinch Ave Ste 100, Knoxville, TN 37916-2435 | 2007-01-24 |
| 1831205160 | John M Reynolds Iv | Orthopaedic Surgery | 1819 W Clinch Ave Ste 100, Knoxville, TN 37916-2435 | 2006-08-21 |
| 1134109804 | Michael T Casey Jr. | Orthopaedic Surgery | 1819 W Clinch Ave Ste 100, Knoxville, TN 37916-2435 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1598371098 | Angela Ruth Porter | Nurse Practitioner | 333 Huxley Rd, Knoxville, TN 37922-3115 | 2020-09-20 |
| 1326653270 | Khalid Khan | Nurse Practitioner | 9036 Highbridge Dr, Knoxville, TN 37922-1439 | 2020-09-08 |
| 1972117042 | Seth Ingebrigtson | Nurse Practitioner | 4707 Seminole Rd, Knoxville, TN 37918-1548 | 2020-09-04 |
| 1013521285 | Ashley Renee Bonnell | Nurse Practitioner | 2667 Sweeping Rain Ln, Knoxville, TN 37931-3170 | 2020-09-03 |
| 1407460207 | Mofoluwasho Adenekan | Nurse Practitioner | 6100 Stratford Park Blvd, Knoxville, TN 37912-2109 | 2020-08-31 |
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1598375255 | Abbey Rae Powell | Nurse Practitioner | 10119 Tan Rara Dr, Knoxville, TN 37922-4142 | 2020-08-06 |
| 1194335018 | Jennifer Blair Massaro | Nurse Practitioner | 1424 Whitower Dr, Knoxville, TN 37919-8841 | 2020-08-05 |
| 1194333054 | Sara Ann Dajani | Nurse Practitioner | 7600 Redwood Burl Ln, Knoxville, TN 37931-4183 | 2020-07-16 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.