Rochella Edwards
Individual provider Active NPI Peer Specialist · Blythe, CA
NPI 1326468331 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1326468331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- MPSS-BROJEF (CA)
- Practice address
- 1297 W Hobsonway
Blythe, CA 92225-1423 - Phone
- (760) 921-5000
- Fax
- (760) 921-5002
- NPI assigned
- Apr 17, 2014
- 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 |
|---|---|---|---|
| MPSS-BROJEF | CA | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-BROJEF | CA | Yes |
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
1297 W Hobsonway
Blythe, CA 92225-1423
Mailing address
1297 W Hobsonway
Blythe, CA 92225-1423
Phone (760) 921-5000
Other providers in Blythe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. 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.