Jennifer Rosen Edwards, M.S. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C-4754 Issued in NM

Practice address

1706 Ridgecrest Dr SE
Albuquerque, NM 87108-4439

Phone

(602) 361-4157

NPI assigned

Jul 21, 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

Other names 1

• Jennifer Valerie Rosen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1134432958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 RIDGECREST DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084439",
            "telephone_number": "602-361-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 RIDGECREST DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084439",
            "telephone_number": "602-361-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JENNIFER",
        "middle_name": "ROSEN",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-4754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSEN",
            "middle_name": "VALERIE",
            "credential": "M.S. SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Hayse Edwards, NHC, LMT, NTS, LMHC
• Devon Edwards, MOTR/L
• Donny Edwards
• Isaac Troy Edwards, MD
• Jennifer M Edwards, PT
• Johnnay Edwards
• Joseph Vernon Edwards, DC
• Judith Edwards
• Kathleen Margaret Edwards, LMHC
• Katie Celise Edwards, M.A., CCC-SLP

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.