Provider Demographics
NPI:1316015522
Name:READY, ASHLEY KYLE (PA-C)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:KYLE
Last Name:READY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 PATTERSON ST STE 123
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1540
Mailing Address - Country:US
Mailing Address - Phone:615-454-6064
Mailing Address - Fax:615-454-6065
Practice Address - Street 1:2400 PATTERSON ST STE 123
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1540
Practice Address - Country:US
Practice Address - Phone:615-454-6064
Practice Address - Fax:615-454-6065
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3848363A00000X
TN3948363AS0400X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y3157OtherBCBS
TX189745601Medicaid
TX189745601Medicaid
TX8Y3157OtherBCBS