Regina Louise Edwards, BSW, MS, CRC, CCM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

738 S Main St
Mount Airy, NC 27030-4724

Phone

(336) 429-9211

NPI assigned

Jan 17, 2010

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263686400000",
    "number": "1033440920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 S MAIN ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304724",
            "telephone_number": "336-429-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 S MAIN ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304724",
            "telephone_number": "336-429-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "REGINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "BSW, MS, CRC, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2010-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrie Dawn Easter, CADC
• Eckerd Corporation
• Neil Lucas Edlen, PHARMD.
• Jason W Edsall, M.D.
• Clinton Jamie Edwards, MA, M.ED, LCAS, CSI
• Ica Draughn Eldridge, NC LMBT# 12464
• Susan Floyd Elium, PMHNP
• Milton Barry Ellis, MD
• Equality in Action
• Eraj Holdings, LLC

• Case Manager/Care Coordinator in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2010; 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.