Active NPI
Jasmine Gail Edwards, PH.D.
- Psychologist
- Dayton, OH
National Provider Identifier
1447354121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3793
- Practice address
- 1339 Woodman Dr
Dayton, OH 45432-3425 - Phone
- (937) 253-1987
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3793 | OH | Primary |
Addresses
Primary practice location
1339 Woodman Dr
Dayton, OH 45432-3425
Mailing address
100 Greendale Dr
Kettering, OH 45429-1576
Phone (937) 298-1763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0658328 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3793 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223769600000",
"number": "1447354121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GREENDALE DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291576",
"telephone_number": "937-298-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323425",
"telephone_number": "937-253-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JASMINE",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2008-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "3793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0658328",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.