Active NPI
Ashley Marie Addessi-Durnell, R.D., L.D.
- Registered Dietitian
- Dover, OH
National Provider Identifier
1780940833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6924
- Practice address
- 659 Boulevard St
Dover, OH 44622-9987 - Phone
- (330) 343-3311
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- No
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6924 | OH | MD | Registered Dietitian |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 6924 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
659 Boulevard St
Dover, OH 44622-9987
Mailing address
659 Boulevard St
Dover, OH 44622-9987
Phone (330) 343-3311
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CCUH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2020.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1780940833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 BOULEVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446229987",
"telephone_number": "330-343-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 BOULEVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446229987",
"telephone_number": "330-343-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDESSI-DURNELL",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "6924",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CCUH",
"affiliation": "N",
"address_1": "659 Boulevard St",
"city": "Dover",
"state": "OH",
"country_code": "US",
"postal_code": "446229987",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.