Ashley Mermolia, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2543-39 Issued in WI

Practice address

900 Wood Rd
Kenosha, WI 53144-1133

Phone

(262) 595-2164

Fax

(262) 595-2225

NPI assigned

Dec 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1513468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1780190587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S88W19381 TIMBERBROOK DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WOOD RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441133",
            "telephone_number": "262-595-2164",
            "fax_number": "262-595-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMOLIA",
        "first_name": "ASHLEY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-17",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096005227",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "2543-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bart L Mengo
• Elizabeth Mentink, LPC-IT
• Cristina Mercado Navarro
• Katie Lynn Merges, LPC-IT
• Dana Merkel, DPT
• Melinda L Merola, D.O.
• Erin Merritt, PHARMD
• William T Merritt, PA
• Madelyn Carol Mertens
• Danica Mesina, OTR/L

• Athletic Trainer in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.