Pamela Beth Edwards

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

M-05760 Issued in NM

Practice address

5700 College Blvd
Farmington, NM 87402-1773

Phone

(505) 599-8880

Fax

(855) 648-0620

NPI assigned

Sep 5, 2019

Last updated

Sep 5, 2019By 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 1

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1437708120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E 30TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028805",
            "telephone_number": "505-599-8617",
            "fax_number": "855-290-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 COLLEGE BLVD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874021773",
            "telephone_number": "505-599-8880",
            "fax_number": "855-648-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PAMELA",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-05760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Carl Eaton, PSR CLASSROOM INST.
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• Jack Henry Eberhart, MD
• Danette Eddleman, RDH
• Richard Michael Edwards, D.C.
• Donatus M. Egbonim, MD
• Ehc Farmington LLC (Exceptional Community Hospital Farmington)
• Mia K Eisenfeld
• Tasheena Ellison

• School Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.