Taquisha Dawn Edwards, REGISTERED NURSE

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

695726 Issued in TX

Practice address

703 E. 9TH Street North
BLDG 4970, Room 124
Fort Stewart, GA 31314

Phone

(912) 320-9125

Fax

(912) 435-6133

NPI assigned

Feb 9, 2015

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1346631652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E. 9TH STREET NORTH",
            "address_2": "BLDG 4970, ROOM 124",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-320-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E. 9TH STREET NORTH",
            "address_2": "BLDG 4970, ROOM 124",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-320-9125",
            "fax_number": "912-435-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TAQUISHA",
        "middle_name": "DAWN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "695726",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "LA",
            "license": "114257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legregory Jerome Dykes Sr., PSYCHOMETRIST
• James Thomas Earl Jr., DDS
• David Mark Easty, M.D.
• Karen Edenfield
• Jordan Edwards, MD
• Joel Stephen Egnater, DDS
• Alex Eke, D.MD
• Stacie Eller, LPN
• Stephanie Elizabeth Elliott, LGSW
• Cynthia Ellis, SOCIAL WORK

• Case Management Registered Nurse in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.