Nicole Marie Edwards

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008477 Issued in OH

Practice address

2306 Wade Ave
Ashtabula, OH 44004-9435

Phone

(440) 813-2963

NPI assigned

Sep 1, 2016

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vista Therapeutics Inc

  • Occupational Therapist
  • Long Beach, NY
  • NPI 1396475273
  NPD

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1104372804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 LAKE ERIE ST",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440301358",
            "telephone_number": "440-319-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 WADE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049435",
            "telephone_number": "440-813-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT008477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc
• Eagle Eye Family Development Center
• Bailey Eaton, OTR/L
• Richard A Ebbert, PA
• Deidra Edison, M.ED.
• Claire Eidens
• Jennifer L Ekensten
• Reham E El Gammal, M.D.
• Samar Said El Sayegh, MD
• Justin L Eldridge, LPTA

• Occupational Therapist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.