Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Dizney

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1649689415

Ashley Dizney is a Nurse Practitioner in Middletown, Connecticut. Qualified in 2014, 12 years ago. Practices with Revive Wellness LLC, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

520 Saybrook Rd Ste 105
Middletown, CT 06457-4700
Phone: (203) 314-0179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1068 W Main St, Waterbury, CT 06708-2676 — (203) 518-4526

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5810 (CT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5810 (CT)

Record details

NPI number1649689415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2014
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address26 Bittersweet Ln, Berlin, CT 06037-1919

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Revive Wellness Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Middletown