Jennifer Michelle Yates Edmonds, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202003781 Issued in VA

Practice address

132 Amer Cir
Madison Heights, VA 24572-2613

Phone

(434) 528-6498

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1649916172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 RICHLAND DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022017",
            "telephone_number": "434-941-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 AMER CIR",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245722613",
            "telephone_number": "434-528-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE YATES",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F. Devoe, MD
• Thomas Elroy Dobyns, M.D.
• Dr Robin M Ayers OD PC
• Eckerd Corporation (Rite Aid Pharmacy # 11307)
• Gerald Elwyn Edlin, DDS
• Elite Care Nursing Services LLC
• Patricia L Evans, R.PH.
• Delenn Nicole Fenton
• Angel Elaine Ferguson, RN
• William C. Fleenor, D.M.D.

• Speech-Language Pathologist in Madison Heights, VA
• Providers in Madison Heights, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.