Javonte Edwards

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

110 Boston Street, Salem, Ma 01970
2
Lynn, MA 01902-0190

Phone

(781) 990-9675

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1477271641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CHATHAM ST APT 2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019022448",
            "telephone_number": "781-990-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOSTON STREET, SALEM, MA 01970",
            "address_2": "2",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019020190",
            "telephone_number": "781-990-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JAVONTE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Dennis Eaves, DMD
• Jalen Echevarria
• Marcos Echevarria
• Edith Nourse Rogers Memorial Vamc
• Cameron Lynne Edwards
• Augustina Ngozi Egbuiwe, NP
• Sarah Catherine Eilers, MSW
• Louis Maximiliam Eilert
• Pastor Pius Ejindu
• Helen Ekmekchi, LICSW

• Counselor in Lynn, MA
• Providers in Lynn, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.