Patricia McCoy Edlefsen, MN MASTER OF NURSING

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN186184 Issued in CA

Practice address

12304 Santa Monica Blvd
Suite #106
Los Angeles, CA 90025

Phone

(310) 578-5537

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 2

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.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346388865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 BLANCO WAY",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "310-390-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD",
            "address_2": "SUITE #106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-578-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLEFSEN",
        "first_name": "PATRICIA",
        "middle_name": "MCCOY",
        "credential": "MN MASTER OF NURSING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN186184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSUMER AFFAIRS",
            "identifier": "PMH 410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF REG NRS",
            "identifier": "331",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bianca R. Edison, M.D.
• Josh Edison
• Lamar Edison III
• Benjamin Franklin Edmands, P.T.
• Andrea Crystal Edmeade, MD
• Sarah Yuri Shionoya Edminster
• David A Edmond II
• Deborah L Edmond

• Psychiatric/Mental Health Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.