Kelly Edmundson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M10481 Issued in NV

Practice address

1101 W Moana LN Ste 2
Reno, NV 89509-4734

Phone

(775) 337-2394

Fax

(775) 337-9570

NPI assigned

Dec 14, 2011

Last updated

Jan 8, 2014By 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 3

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1376812776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2286 WESTFIELD AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091822",
            "telephone_number": "775-720-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MOANA LN STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094734",
            "telephone_number": "775-337-2394",
            "fax_number": "775-337-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDSON",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "M10481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michon M Edgington, APRN
• Stacey Edgington, M.S.
• Tori Anne Edmiston, MD
• Ashlyn L Edmondo, PA-C
• Frances Ann Edmonston, M.D.
• Sally Edney-Weare, RN
• Stephen Monroe Edney, MD PHD
• Eds-I Homansky Practices of Nevada PC
• Eds-I Homansky Practices of Nevada PC
• Eds-I Homansky Practices of Nevada PC

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.