Ashley Nicole Evans-Willis

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

3654155 Issued in OH

Practice address

1255 Corbin Rd
Toledo, OH 43612-2267

Phone

(419) 309-5285

NPI assigned

Oct 2, 2023

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1205616729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436064602",
            "telephone_number": "419-309-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 CORBIN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436122267",
            "telephone_number": "419-309-5285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3038 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436064602",
            "country_code": "US",
            "telephone_number": "419-309-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS-WILLIS",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "3654155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Ethridge, LPN
• Laritha Anne Ethridge
• Rylie Alexa Etts
• Lauren Eubanks
• Foti Evangelista, ATC, CAT(C), AT
• Andreia Y Evans
• Anneliese Evans
• April Evans
• Clarence Evans
• Destiny Nicole Evans

• Nurse's Aide in Toledo, OH
• Providers in Toledo, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.