Active NPI
Valerie L Edwards, MD
- Pediatrics Physician
- Bellevue, NE
National Provider Identifier
1306822432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35058336E
- Practice address
- 2501 Capehart Road
Bellevue, NE 68123 - Phone
- (402) 294-6077
- NPI assigned
- Dec 20, 2005
- Last updated
- Nov 21, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35058336E | OH | Primary |
Addresses
Primary practice location
2501 Capehart Road
Bellevue, NE 68123
Mailing address
8508 S 159TH St
Omaha, NE 68136-1316
Phone (513) 368-4595
Other practice location 1
1525 Elm Street
Elm Street Health Center
Cincinnati, OH 45202-6957
Phone (513) 352-3092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 737804 | Medicaid | OH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35058336E | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1306822432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8508 S 159TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681361316",
"telephone_number": "513-368-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CAPEHART ROAD",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68123",
"telephone_number": "402-294-6077"
}
],
"practiceLocations": [
{
"address_1": "1525 Elm Street",
"address_2": "Elm Street Health Center",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452026957",
"country_code": "US",
"telephone_number": "513-352-3092",
"fax_number": "513-352-1429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "VALERIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35058336E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "737804",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.