MRS. ASHTON LEGER FONDREN (NPI# 1205480621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205480621 |
Entity Type | Individual |
Full Name | MRS. ASHTON LEGER FONDREN |
Other Name | MS. ASHTON MARIE LEGER |
Practice Address |
4300 West Main Street Suite 31 Dothan AL 36305-1315 |
Practice Telephone | 3347936511 |
Practice Fax Number | 3347026178 |
Mailing Telephone | 3347936511 |
Mailing Fax Number | 3347026178 |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
1-151862 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4300 WEST MAIN STREET SUITE 31 |
City | DOTHAN |
State | AL |
Zip Code | 36305-1315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255398582 | Robert M Hagler | Obstetrics & Gynecology | 4300 West Main Street, Suite 31 Womens Healthcare of Dothan PC, Dothan, AL 36305-4300 | 2006-04-28 |
1801970116 | Justin Garrett Hovey | Family Medicine | 4300 West Main Street, Suite 41, Dothan, AL 36305 | 2006-10-24 |
1619062064 | William I Owen | Specialist | 4300 West Main Street, Suite 43, Dothan, AL 36305 | 2006-10-03 |
1427141282 | Charles A Feagin | Specialist | 4300 West Main Street, Suite 43, Dothan, AL 36305 | 2006-10-02 |
1356309942 | Herbert H Gannon Jr. | Obstetrics & Gynecology | 4300 West Main Street, Suite 31 Womens Healthcare of Dothan PC, Dothan, AL 36305-4300 | 2006-05-03 |
1164489498 | Ben R Martin IIi | Obstetrics & Gynecology | 4300 West Main Street, Ste 31 Womens Healthcare of Dothan PC, Dothan, AL 36305-4300 | 2006-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
Find all providers in zip 36305 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396305579 | Women's Healthcare of Dothan, PC | Nurse Practitioner | 4300 W Main St Ste 31, Dothan, AL 36305-1315 | 2019-06-19 |
1710963756 | Amy Franklin | Nurse Practitioner | 137 Clinic Dr, Dothan, AL 36303-1992 | 2005-12-21 |
1619414158 | Pamela Jones | Nurse Practitioner | 104 Medical Dr, Dothan, AL 36303-6902 | 2017-01-23 |
1942223680 | Sabrina Kelley | Nurse Practitioner | 104 Medical Dr, Dothan, AL 36303-6902 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710443767 | Antallia Shauntell Johnson | Nurse Practitioner | 2505 Us Hwy 431 Women's Center Suite A, Boaz, AL 35957 | 2019-02-14 |
1457881567 | Caroline Howard Vaughn | Nurse Practitioner | 2700 10th Ave S Ste 306, Birmingham, AL 35205-1248 | 2017-06-13 |
1245768134 | Elizabeth S Irby | Nurse Practitioner | 320 Pelham Ave., Sw, Suite 300, Huntsville, AL 35801 | 2017-05-23 |
1184966178 | Karen Michelle Aplin | Nurse Practitioner | 630 Mcqueen Smith Rd N, Prattville, AL 36066-7511 | 2013-03-18 |
1396995734 | Hanne Sybil Harbison | Nurse Practitioner | Zrb 242, 1530 3rd Avenue S, Birmingham, AL 35294-0001 | 2008-09-23 |
1821299173 | Terrie H Platt | Nurse Practitioner | 717 Downtowner Loop W, Mobile, AL 36609-5503 | 2007-05-31 |
1124158126 | Karen Lyle Roberts Fry | Nurse Practitioner | 1002 1st Street N, Suite 301, Alabaster, AL 35007 | 2007-03-07 |
1134217003 | Pamela Gail Tate | Nurse Practitioner | 162 Titan Dr, Florence, AL 35630-1197 | 2006-10-10 |
1568484913 | Brandy Thomason Tanner | Nurse Practitioner | 1500 6th Ave S, Birmingham, AL 35233-1602 | 2006-07-24 |
1609806066 | Cynthia N Evans | Nurse Practitioner | 415 Martling Rd, Albertville, AL 35951-7209 | 2006-07-03 |
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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.