Alandis De'Ersula Edmonds

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

5775 Emerald Springs Cir
Detroit, MI 48212-3927

Phone

(313) 808-3232

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1013603695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 EMERALD SPRINGS CIR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482123927",
            "telephone_number": "313-808-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 EMERALD SPRINGS CIR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482123927",
            "telephone_number": "313-808-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "ALANDIS",
        "middle_name": "DE'ERSULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanzella Edison, LPC
• Antionette Edler, DO
• Susan Edlibi, M.D.
• Edmond & Williams Co.LLC
• Alisa Edmonds-Hatten
• Khalilah Edmondson
• Claudia Nicole Edmonson, SST, HSA
• Educating U4 Life CDC
• Edward a Clay MD PC
• Edward G Kroll,DDS and Associates, PC

• Peer Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.