NATHANIEL FREDERICK ASHLEY MD
NPI 1740070499
Student in an Organized Health Care Education/Training Program in Kingsport, TN

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 07, 2025PECOS Enrolled

102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nathaniel Frederick Ashley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL FREDERICK ASHLEY MD (NPI 1740070499) is an individual student in an organized health care education/training program in Kingsport, Tennessee and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740070499

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNATHANIEL FREDERICK ASHLEYCredential: MD

Location Address102 E RAVINE RDKingsport, TN 37660-3814

Mailing Address102 E Ravine RdKingsport, TN 37660-3814 · (423) 245-9600 · Fax (423) 245-9634

Phone(423) 245-9600

Sole ProprietorNo

Enumeration DateMay 7, 2025

NPPES CertifiedMay 7, 2025

✔ NPI 1740070499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

102 E RAVINE RD, Kingsport, TN 37660

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel Frederick Ashley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.