Robin L Edge, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13291 Issued in FL

Practice address

1128 N Laura St
Jacksonville, FL 32206-4912

Phone

(904) 355-3403

Fax

(904) 355-4149

NPI assigned

Feb 5, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1275865875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 N LAURA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064912",
            "telephone_number": "904-355-3403",
            "fax_number": "904-355-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 N LAURA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064912",
            "telephone_number": "904-355-3403",
            "fax_number": "904-355-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "ROBIN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005098",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000936977B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Edenfield, M.S. OTR/L
• Kristen Edenfield
• Victoria Edenfield, ARNP
• Diana L Edgar, M.D.
• Krystal Kay Edgar, CRNA
• Edgewood Maximus Operations LLC
• Edgewood Nursing Center Inc
• Jonathon Curtis Edgy, MD
• Peter Ediagbonya, RPH
• Stefanie Ann Edinger, PHARMD

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.