Individual provider Active NPI

Ashley Marie Tannhof, FNP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1386265379
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0027196 Issued in OH
Practice address
7292 Fulton Dr NW
Canton, OH 44718-1525
Phone
(330) 837-3095
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 413428 OH
Family Nurse Practitioner 363LF0000X 0027196 OH Primary

Addresses

Primary practice location

7292 Fulton Dr NW
Canton, OH 44718-1525

Mailing address

7292 Fulton Dr NW
Canton, OH 44718-1525
Phone (330) 837-3095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210106001566 OH Practitioner - Nurse Practitioner 9739592072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare 2000 Community Clinic IncGroup PAC ID 3173743689, 14 clinicians
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

1739 Cleveland Rd
Wooster, OH 44691-2203
Phone 3302622500102

3909 Orange PL
Suite 2100
Beachwood, OH 44122-8400
Phone (440) 809-8810

716 N Court St
Medina, OH 44256-1748
Phone (330) 426-8700

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0027196OHMDFamily Nurse Practitioner
413428OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare 2000 Community Clinic Inc CurrentSince Nov 1, 2024 Accepting new patients
Healthcare 2000 Community Clinic Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

1739 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

1874 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1386265379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7292 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181525",
            "telephone_number": "330-837-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7292 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181525",
            "telephone_number": "330-837-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNHOF",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "413428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.