Individual provider Active NPI

Ann Marie L Edwards, RPA

  • Radiology Practitioner Assistant
  • Dracut, MA
National Provider Identifier
1487951513
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
02235 Issued in MA
Practice address
134 Black Oak LN
Dracut, MA 01826-1300
Phone
(978) 957-6076
Fax
(603) 898-3745
NPI assigned
Feb 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X 02235 MA Primary

Addresses

Primary practice location

134 Black Oak LN
Dracut, MA 01826-1300

Mailing address

134 Black Oak LN
Dracut, MA 01826-1300
Phone (978) 957-6076

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
02235MAMDRadiology Practitioner Assistant

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1487951513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BLACK OAK LN",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261300",
            "telephone_number": "978-957-6076",
            "fax_number": "603-898-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BLACK OAK LN",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261300",
            "telephone_number": "978-957-6076",
            "fax_number": "603-898-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ANN MARIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "MA",
            "license": "02235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.