Active NPI
Jacqueline Edwards
- Non-emergency Medical Transport (VAN)
- Rockville, MD
National Provider Identifier
1124895149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 343900000X
- Practice address
- 12345 Parklawn Dr Ste R1312345
Rockville, MD 20852-1725 - Phone
- (240) 355-8338
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 343900000X | MD | Primary |
Addresses
Primary practice location
12345 Parklawn Dr Ste R1312345
Rockville, MD 20852-1725
Mailing address
8401 Manchester Rd
Silver Spring, MD 20901-4359
Phone (240) 355-8338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 343900000X | MD | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1124895149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 MANCHESTER RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014359",
"telephone_number": "240-355-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12345 PARKLAWN DR STE R1312345",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521725",
"telephone_number": "240-355-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JACQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MD",
"license": "343900000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.