Provider Demographics
NPI:1558348052
Name:SMALL, ASHLEY F (APRN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:F
Last Name:SMALL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:L
Other - Last Name:FAUREST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1215 21ST AVE S
Mailing Address - Street 2:MCE SOUTH TOWER STE 4200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8774
Mailing Address - Country:US
Mailing Address - Phone:615-322-3000
Mailing Address - Fax:615-936-2667
Practice Address - Street 1:3601 TVC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-5100
Practice Address - Country:US
Practice Address - Phone:615-322-3000
Practice Address - Fax:615-936-2667
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1099003363L00000X
KY4751P ARNP363L00000X
TNAPN15747363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY102639OtherSIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
IN200544810OtherMANAGED HEALTH SERVICES- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY78015781OtherMEDICAID KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KYP00893042OtherRAILROAD MEDICARE- NNIKY
KY369417000OtherPASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY500222351OtherPASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY000000604399OtherANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY000023035EOtherHUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY5781231OtherCIGNA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY00533108OtherMEDICARE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY200544810OtherANTHEM INDIANA MEDICAID- NNIKY
IN200544810Medicaid