Individual provider Active NPI

Yolanda Raquel Ramos-Edgerly, M.S.

  • Speech-Language Pathologist
  • Cottonwood, AZ
National Provider Identifier
1376851857
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP6967 Issued in AZ
Practice address
1 N Willard St
Cottonwood, AZ 86326-3651
Phone
(928) 634-2288
NPI assigned
Sep 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP6967 AZ Primary

Addresses

Primary practice location

1 N Willard St
Cottonwood, AZ 86326-3651

Mailing address

3026 Blue Canyon TRL
Flagstaff, AZ 86001-3516
Phone (928) 581-0047

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TSLP6967AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Oak Creek School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1376851857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 BLUE CANYON TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013516",
            "telephone_number": "928-581-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263651",
            "telephone_number": "928-634-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS-EDGERLY",
        "first_name": "YOLANDA",
        "middle_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-19",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP6967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.