Gena Edwards, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

27649 Issued in AZ

Practice address

1621 W Village Way
Tempe, AZ 85282-4445

Phone

(602) 456-1662

NPI assigned

Aug 19, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1063188092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W VILLAGE WAY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824445",
            "telephone_number": "602-456-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W VILLAGE WAY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824445",
            "telephone_number": "602-456-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GENA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "27649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "27649",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "genaaedwards@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1621 W Village Way",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852824445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eduardo S Alcantar MD PC
• Edward a Carrington MD PLLC
• Edward D Szmuc, M.D., P.C.
• Benjamin Edwards, LMSW
• Faith Marie Edwards, M.S.
• Laura D Edwards
• Efrem Miller MD PC
• Eh Home Health of the West, LLC
• Eicon Dental, LLC
• Nicholas Conrad Eisemann-Astone, PMHNP

• Massage Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.