Danielle Pelayo Edwards, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1235 Issued in WY

Practice address

3128 Boxelder Dr
Cheyenne, WY 82001-5808

Phone

(307) 634-7901

NPI assigned

Jul 20, 2017

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jul 20, 2017.

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1306369384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W 28TH ST APT 2",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012679",
            "telephone_number": "719-694-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 BOXELDER DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015808",
            "telephone_number": "307-634-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DANIELLE",
        "middle_name": "PELAYO",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "1235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Hospice at Cheyenne, LLC
• Brenna C Edgerton
• Douglas W Edgren, MD
• Brandy June Edlund, MS, LPC, NCC
• Andy Edwards
• Isheeka Edwards, MD
• John Edwards, PHARMD
• Joni Lyn Edwards
• James Rasmussen Eggert, MD
• Megan Eggleston, HEARING SPECIALIST

• All providers in Cheyenne, WY
• Occupational Therapy Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.