Nancy Caroline Edwardson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 53070 Issued in CA

Practice address

160 E Holt Ave Ste B
Pomona, CA 91767-5407

Phone

(909) 620-2521

Fax

(909) 620-9793

NPI assigned

Apr 30, 2009

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

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1124262449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11046 SAN JUAN ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542714",
            "telephone_number": "909-620-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E HOLT AVE STE B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675407",
            "telephone_number": "909-620-2521",
            "fax_number": "909-620-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDSON",
        "first_name": "NANCY",
        "middle_name": "CAROLINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 53070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Edmondson Jr., MPA
• Maryjane Edobor
• Cailyn Nancy Edwards Cattell
• Deidra Edwards Turner
• Corey Edwards, PHARMD
• Cinthya Patricia Egas
• Eggleston Youth Centers, Inc.
• Eggleston Youth Centers, Inc.
• Eggleston Youth Centers, Inc.
• Eggleston Youth Centers, Inc.

• Marriage & Family Therapist in Pomona, CA
• Providers in Pomona, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.