ASHLEY CANNON MANN (NPI# 1962931410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962931410 |
| Entity Type | Individual |
| Full Name | ASHLEY CANNON MANN |
| Credential | CRNP |
| Practice Address |
4145 Carmichael Road Montgomery AL 36106 |
| Mailing Address |
301 Brown Springs Rd Montgomery AL 36117-7005 |
| Practice Telephone | 3342737000 |
| Practice Fax Number | 3342732228 |
| Mailing Telephone | 3342734159 |
| Mailing Fax Number | 3342734556 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-122663 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | VIVA | Z98667 | 01 |
| AL | BCBS | 511-94957 | 01 |
| AL | AETNA | 4766889 | 01 |
| AL | 203893 | 05 | |
| AL | MEDICARE | 510G700564 | 01 |
| AL | BCBS | 511-94956 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 360667263 | 3343511000 | 3343581207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861038 | Ashley Mann | Student in an Organized Health Care Education/Training Program | 3501 S 1st St Apt 159, Austin, TX 78704-7006 | 2020-01-30 |
| 1346772613 | Ashley Mann | Behavior Technician | 5561 Sw 114th Ave, Cooper City, FL 33330-4565 | 2017-03-28 |
| 1710506738 | Ashley Mann | Physician Assistant | 6410 Fannin, Ste 250, Houston, TX 77030 | 2020-04-09 |
| 1013547470 | Ashley Jane Mann | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-01-23 |
| 1407493158 | Ashley Dana Mann | Social Worker | 5 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 | 2019-12-02 |
| 1609428796 | Ashley Marie Mann | Occupational Therapy Assistant | 30 Montvue Dr, Luray, VA 22835-1057 | 2019-07-10 |
| 1770059784 | Ashley Mann | Social Worker | 350 Salem Rd, Conway, AR 72034-7525 | 2018-10-17 |
| 1346724572 | Ashley Elizabeth Mann | Occupational Therapist | 50 E North St, Buffalo, NY 14203-1002 | 2018-09-24 |
| 1326469487 | Ashley Mann | Marriage & Family Therapist | 205 E State St, Redlands, CA 92373-5232 | 2013-12-16 |
| 1578853214 | Ashley Ann Mann | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2011-04-14 |
| Street Address |
4145 CARMICHAEL ROAD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679527949 | Michael L Ingram | Radiology | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-20 |
| 1679786354 | John Edward Reardon | Internal Medicine | 4145 Carmichael Road, Montgomery Cancer Center, Montgomery, AL 36106-2803 | 2007-05-08 |
| 1841215084 | Sandria Renee Warren | Nurse Practitioner | 4145 Carmichael Road, Montgomery Cancer Center, Montgomery, AL 36106-2803 | 2006-07-12 |
| 1427092220 | Montgomery Cancer Center, LLC | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-06-15 |
| 1841246022 | Keith A Thompson | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-26 |
| 1417902917 | Karlene R Boozer | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-23 |
| 1306891817 | Kristi Springer | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-23 |
| 1851346365 | Donna Turner | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-23 |
| 1598710006 | Heather Moreland | Nurse Practitioner | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-23 |
| 1356395214 | Harry M Barnes IIi | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on ASHLEY CANNON MANN.
| 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.