Active NPI
Paula Sims-Edwards
- Speech-Language Pathologist
- New Rochelle, NY
National Provider Identifier
1457407082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017019-1
- Practice address
- 39 Davenport Ave Apt 1F
New Rochelle, NY 10805-3409 - Phone
- (954) 488-1468
- NPI assigned
- Jan 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | SA 11883 | FL | |
| Speech-Language Pathologist | 235Z00000X | 017019 | NY | |
| Speech-Language Pathologist | 235Z00000X | 017019-1 | NY | Primary |
Addresses
Primary practice location
39 Davenport Ave Apt 1F
New Rochelle, NY 10805-3409
Mailing address
PO Box 42
New Rochelle, NY 10802-0042
Phone (954) 488-1468
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 11883 | FL | MD | Developmental Therapist |
| 017019-1 | NY | MD | Occupational Therapist |
| 017019 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1457407082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108020042",
"telephone_number": "954-488-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 DAVENPORT AVE APT 1F",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108053409",
"telephone_number": "954-488-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS-EDWARDS",
"first_name": "PAULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "SA 11883",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017019",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017019-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.