Jessica Lynne Edmondson, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

270274 Issued in NC

Practice address

17359 W Surprise Farms Loop N
Surprise, AZ 85388-0283

Phone

(623) 523-8490

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 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 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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1457752388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11142 N 165TH DR APT 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853886644",
            "telephone_number": "252-955-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17359 W SURPRISE FARMS LOOP N",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853880283",
            "telephone_number": "623-523-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NC",
            "license": "270274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebw DMD PLLC (Great Smiles)
• Marc Lewis Eckhauser, M.D.
• Ecohealth Neuropathy, Inc.
• Stephanie Kei Edem
• Tera Lynn Eder
• Kellie Rae Edwards, RN
• Sab Edwards, CNA
• Katie Egea
• Lisa Egleston, FNP-C
• Mindy Eglivitch, LCSW

• School Registered Nurse in Surprise, AZ
• Providers in Surprise, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.