Active NPI
Talena Edmonds
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP023190
- Practice address
- 5675 N Front St
Philadelphia, PA 19120-2719 - Phone
- (855) 887-9229
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP023190 | PA | Primary |
Addresses
Primary practice location
5675 N Front St
Philadelphia, PA 19120-2719
Mailing address
901 Byers Dr # 1068
Glen Mills, PA 19342-3323
Other practice location 1
17981 Sky Park Cir Ste Bc
Irvine, CA 92614-6309
Phone (877) 896-7350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5675 N Front St
Rising Sun Health Center
Philadelphia, PA 19120-2719
Phone (215) 279-9666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP023190 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Advantmed Provider Network | Past | Accepting new patients |
Locations
1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212
5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881779866
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1467776989
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1679133268
-
- General Practice Physician
- Irvine, CA
- NPI 1710409719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1598549909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BYERS DR # 1068",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193423323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5675 N FRONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202719",
"telephone_number": "855-887-9229"
}
],
"practiceLocations": [
{
"address_1": "17981 Sky Park Cir Ste Bc",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926146309",
"country_code": "US",
"telephone_number": "877-896-7350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDMONDS",
"first_name": "TALENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP023190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.