Active NPI
Camille Edwards
- Home Health Registered Nurse
- Merrick, NY
National Provider Identifier
1184901464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 641204-1
- Practice address
- 2116 Merrick Ave
Merrick, NY 11566-3445 - Phone
- (516) 867-7042
- Fax
- (516) 379-0612
- NPI assigned
- Nov 14, 2011
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 641204-1 | NY | Primary |
Addresses
Primary practice location
2116 Merrick Ave
Merrick, NY 11566-3445
Mailing address
2923 Falcon Ave
Far Rockaway, NY 11691-1823
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 |
|---|---|---|---|
| 641204-1 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1184901464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2923 FALCON AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 MERRICK AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663445",
"telephone_number": "516-867-7042",
"fax_number": "516-379-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "641204-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrick, NY
- Eagle'S Pride Comprehensive Healthcare Medical PC
- East Coast Gynecology PC
- Ebs Medical Care PLLC
- Alexander P Edayadi, M.D.
- Brittany Edwards-Fowler, LPN
- Efthalia Piacquadio Licensed Behavior Analyst PC
- Christine Egan, BCBA, LBA
- Brooke Samantha Eisenberg, MSW
- Scott T Elberger, MD
- Alyssa Nicole Elias, DOCTOR OF PSYCHOLOGY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.