Provider Demographics
NPI:1750780326
Name:RHINEHART, ASHLEY JO (APRN)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JO
Last Name:RHINEHART
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JO
Other - Last Name:WITHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 776879
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6879
Mailing Address - Country:US
Mailing Address - Phone:502-559-9529
Mailing Address - Fax:502-272-5339
Practice Address - Street 1:601 S FLOYD ST
Practice Address - Street 2:STE 602
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1845
Practice Address - Country:US
Practice Address - Phone:502-585-4802
Practice Address - Fax:502-589-1256
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008911363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK160770Medicare UPIN