Healthcare Provider Details

I. General information

NPI: 1750184875
Provider Name (Legal Business Name): ASHAWNTA WINSTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2019 E GARDENIA DR
PATASKALA OH
43062-6018
US

IV. Provider business mailing address

PO BOX 13201
COLUMBUS OH
43213-0201
US

V. Phone/Fax

Practice location:
  • Phone: 614-500-3548
  • Fax:
Mailing address:
  • Phone: 614-500-3548
  • Fax: 614-500-3548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: