Active NPI
Shaquille Edwards
- Social Worker
- St Petersburg, FL
National Provider Identifier
1346058724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- PO Box 10625
St Petersburg, FL 33733-0625 - Phone
- (727) 743-5244
- NPI assigned
- Dec 18, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | FL | Primary |
Addresses
Primary practice location
PO Box 10625
St Petersburg, FL 33733-0625
Mailing address
PO Box 10625
St Petersburg, FL 33733-0625
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1346058724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10625",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337330625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 10625",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337330625",
"telephone_number": "727-743-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SHAQUILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.