Tahirah Nakesha Edmonds, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

159829 Issued in WI

Practice address

10501 W Bradley Rd
Milwaukee, WI 53224-2673

Phone

(414) 354-5761

NPI assigned

Mar 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Nursing Concepts

  • Skilled Nursing Facility
  • Milwaukee, WI
  • NPI 1023245396
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1295905040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 W GLENBROOK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231008",
            "telephone_number": "414-371-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 W BRADLEY RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242673",
            "telephone_number": "414-354-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "TAHIRAH",
        "middle_name": "NAKESHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "159829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35051200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edie Beguelin DC
• Cynthia G Edmond, SAC
• Dalisha Edmond, FNP
• Tracey Edmond, M.S. CCC-SLP
• Jason Nathaniel Edmonds, M.D.
• Edp of Wisconsin, PC
• Alan E Edwards, PA
• Anna Margaret Edwards, OTR
• Belinda Edwards
• Brenda Edwards, MSE

• Home Health Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.