Basic Information
Provider Information
NPI: 1548601644
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINMEYER
FirstName: ASHLEIGH
MiddleName: CAUDILL
NamePrefix: MRS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1120 15TH ST STE BI1056
Address2:  
City: AUGUSTA
State: GA
PostalCode: 309120004
CountryCode: US
TelephoneNumber: 7067213813
FaxNumber:  
Practice Location
Address1: 1120 15TH ST
Address2:  
City: AUGUSTA
State: GA
PostalCode: 309123641
CountryCode: US
TelephoneNumber: 7067218623
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/17/2013
LastUpdateDate: 12/21/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X18396SCN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XRN203151GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home