Jada Alexis Edwards

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14972 Issued in NC

Practice address

811 W Warren St
Shelby, NC 28150-5023

Phone

(704) 473-1675

Fax

(980) 701-0008

NPI assigned

Nov 7, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Wood SLP Services, Inc.

  • Community/Behavioral Health Agency
  • Shelby, NC
  • NPI 1619594678
  NPD
• Wood SLP Services, Inc.

  • Speech-Language Assistant
  • Shelby, NC
  • NPI 1881229250

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1508630930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CONIFER WAY",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281507302",
            "telephone_number": "704-473-1675",
            "fax_number": "980-701-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505023",
            "telephone_number": "704-473-1675",
            "fax_number": "980-701-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 E Dixon Blvd",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281526976",
            "country_code": "US",
            "telephone_number": "704-473-1675",
            "fax_number": "980-701-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JADA",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation
• Eckerd Corporation
• Edgerton Chiropractic Inc
• Edify Counseling PLLC
• Edward V Beam Pharmacy Inc
• Marian Denise Edwards
• Hamid Ehsan, MD
• Stephanie Carlile Elam, NP
• Paisley Polk Elliott, OT
• Javious Ellis, MSW

• Occupational Therapist in Shelby, NC
• Providers in Shelby, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.