| Ashley Samaniego, PMHNP-BC | |
|
2204 Pavilion Dr Ste 107, Kingsport, TN 37660-4651 | |
| (423) 392-6100 | |
| Not Available |
| Full Name | Ashley Samaniego |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2204 Pavilion Dr Ste 107, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902583917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 180297 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 36562 (Tennessee) | Primary |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Samaniego, PMHNP-BC 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Ashley Samaniego, PMHNP-BC 2204 Pavilion Dr Ste 107, Kingsport, TN 37660-4651 Ph: (423) 392-6100 |
Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077 | |
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777 | |
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613 | |
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629 | |
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300 | |
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: -- | |
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333 |