Active NPI
Vanessa Edwards, NMD, LAC
- Acupuncturist
- Dayton, OH
National Provider Identifier
1174726673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000194
- Practice address
- 4380 Salem Ave
Dayton, OH 45416-1707 - Phone
- (937) 275-9473
- Fax
- (937) 274-5799
- NPI assigned
- Jun 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 05858 | AZ | |
| Acupuncturist | 171100000X | 000194 | OH | Primary |
Addresses
Primary practice location
4380 Salem Ave
Dayton, OH 45416-1707
Mailing address
4380 Salem Ave
Dayton, OH 45416-1707
Phone (937) 275-9473
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05858 | AZ | MD | Naturopath |
| 000194 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1174726673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4380 SALEM AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454161707",
"telephone_number": "937-275-9473",
"fax_number": "937-274-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4380 SALEM AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454161707",
"telephone_number": "937-275-9473",
"fax_number": "937-274-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "NMD, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "05858",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "000194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.