Individual provider Active NPI

Edythe Lynn Fertig

  • Registered Nurse
  • Ravenna, OH
National Provider Identifier
1801706999
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
274088 Issued in OH
Practice address
8231 Tallmadge Rd
Ravenna, OH 44266-9233
Phone
(330) 557-0077
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 274088 OH Primary

Addresses

Primary practice location

8231 Tallmadge Rd
Ravenna, OH 44266-9233

Mailing address

8231 Tallmadge Rd
Ravenna, OH 44266-9233
Phone (330) 557-0077

Other practice location 1

8231 Tallmadge Rd
Ravenna, OH 44266-9233
Phone (330) 652-5811

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1801706999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 TALLMADGE RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442669233",
            "telephone_number": "330-557-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8231 TALLMADGE RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442669233",
            "telephone_number": "330-557-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8231 Tallmadge Rd",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442669233",
            "country_code": "US",
            "telephone_number": "330-652-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERTIG",
        "first_name": "EDYTHE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "274088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.