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

Ashley Fatheree

Individual provider Nurse Practitioner · NPI 1467021816

Ashley Fatheree is a Nurse Practitioner in Coon Rapids, Minnesota. Qualified in 2018, 8 years ago. Practices with Minnesota Oncology Hematology PA, a 132-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in District of Columbia, Minnesota and Virginia.

Years since qualifying
8
Licensed in
DC, MN, VA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

11850 Blackfoot St NW Ste 100
Coon Rapids, MN 55433-2774
Phone: (763) 712-2100
Fax: (763) 712-2190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2150 Pennsylvania Ave Nw Fl 5, Washington, DC 20037-3201 — (202) 741-2500
  • 8081 Innovation Park Dr, Fairfax, VA 22031-4867 — (571) 472-4724

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10482 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024186462 (VA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN1051347 (DC)

Record details

NPI number1467021816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Minnesota Oncology Hematology Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coon Rapids