Deanna Shavon Edwards
Individual provider Active NPI Home Health Aide · El Dorado, AR
NPI 1285515239 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1285515239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 929362912 (AR)
- Practice address
- 614 Cherry St
El Dorado, AR 71730-6414 - Phone
- (870) 312-3733
- NPI assigned
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 929362912 | AR | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 929362912 | AR | Yes |
Addresses
Primary practice location
614 Cherry St
El Dorado, AR 71730-6414
Mailing address
614 Cherry St
El Dorado, AR 71730-6414
Phone (870) 312-3733
Other providers in El Dorado, AR
- DRS Weddle and Baumsardner
- Cynthia W Dupuis
- Venkata Surya Phani Bhushan Durvasula
- Alyssa Hope Dykes
- Charles Douglas Edmondson
- El Dorado Emergency Group LLC
- El Dorado Home Care Services, LLC
- El Dorado Public Schools
- El Dorado Rehabilitation Services, Inc
- El Dorado SNF Operations LLC
All providers in El Dorado, AR · Home Health Aide in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.