Individual provider Active NPI

Ashly Avenmarg

  • Student in an Organized Health Care Education/Training Program
  • Willowick, OH
National Provider Identifier
1275462244
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RN.530542 Issued in OH
Practice address
30409 Oakdale Rd # Re
Willowick, OH 44095-4940
Phone
(330) 888-5116
Fax
(330) 888-5116
NPI assigned
May 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN.530542 OH Primary

Addresses

Primary practice location

30409 Oakdale Rd # Re
Willowick, OH 44095-4940

Mailing address

30409 Oakdale Rd # Re
Willowick, OH 44095-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.530542OHMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1275462244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30409 OAKDALE RD # RE",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440954940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30409 OAKDALE RD # RE",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440954940",
            "telephone_number": "330-888-5116",
            "fax_number": "330-888-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENMARG",
        "first_name": "ASHLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RN.530542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.