Individual provider Active NPI

Ranada Ann Williams-Edmonds

  • Home Health Registered Nurse
  • Indianapolis, IN
National Provider Identifier
1487475448
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
28205630A Issued in IN
Practice address
5645 E Raymond St
Indianapolis, IN 46203-4967
Phone
(317) 760-5066
Fax
(317) 550-0801
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 282050630A IN
Critical Care Medicine Registered Nurse 163WC0200X 28205630A IN
Continuing Education/Staff Development Registered Nurse 163WC1600X 28205630A IN
Nurse's Aide 376K00000X IN
Home Health Registered Nurse 163WH0200X 28205630A IN Primary

Addresses

Primary practice location

5645 E Raymond St
Indianapolis, IN 46203-4967

Mailing address

5645 E Raymond St
Indianapolis, IN 46203-4967
Phone (317) 760-5066

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
282050630AINMDRegistered Nurse
28205630AINMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Home Health LLC Current Accepting new patients
Raw Home Care Services LLC Current Accepting new patients

Locations

5645 E Raymond St
Indianapolis, IN 46203
Phone (463) 239-1611

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1487475448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034967",
            "telephone_number": "317-760-5066",
            "fax_number": "317-550-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034967",
            "telephone_number": "317-760-5066",
            "fax_number": "317-550-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-EDMONDS",
        "first_name": "RANADA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "282050630A",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28205630A",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "IN",
            "license": "28205630A",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IN",
            "license": "28205630A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.