Active NPI
Lori Ann Edwards, THERAPIST
- Radiation Therapy Radiologic Technologist
- Houston, TX
National Provider Identifier
1639287360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Therapy Radiologic Technologist
- License
- 205198
- Practice address
- 2002 Holcombe Blvd
Houston, TX 77030-4211 - Phone
- (713) 794-7190
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiation Therapy Radiologic Technologist | 2471R0002X | 205198 | TX | Primary |
Addresses
Primary practice location
2002 Holcombe Blvd
Houston, TX 77030-4211
Mailing address
1017 Willowcreek
Laporte, TX 77571
Phone (713) 794-7190
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
| License | State | Type | Specialty |
|---|---|---|---|
| 205198 | TX | MD | Radiation Therapy Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639287360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 WILLOWCREEK",
"city": "LAPORTE",
"state": "TX",
"postal_code": "77571",
"telephone_number": "713-794-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304211",
"telephone_number": "713-794-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "LORI",
"middle_name": "ANN",
"credential": "THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471R0002X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiation Therapy",
"state": "TX",
"license": "205198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.