Active NPI
Jodi McAvinew, RN
- Registered Nurse
- Canton, OH
National Provider Identifier
1649590753
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2023.
- Section 1128a(4) exclusion effective May 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 350188
- Practice address
- 702 Garfield Ave SW
Canton, OH 44706-1219 - Phone
- (330) 453-7473
- Fax
- (330) 453-7473
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 350188 | OH | Primary |
Addresses
Primary practice location
702 Garfield Ave SW
Canton, OH 44706-1219
Mailing address
702 Garfield Ave SW
Canton, OH 44706-1219
Phone (330) 453-7473
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350188 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276214400000",
"number": "1649590753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 GARFIELD AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447061219",
"telephone_number": "330-453-7473",
"fax_number": "330-453-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 GARFIELD AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447061219",
"telephone_number": "330-453-7473",
"fax_number": "330-453-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAVINEW",
"first_name": "JODI",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2010-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "350188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.