Sherita Nicole Edwards, CNA

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Practice address

14736 Dobson Ave
Dolton, IL 60419-2313

Phone

(708) 224-6471

Fax

(708) 487-9293

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

Yes

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.

• Edwards Transportation Inc

  • Early Intervention Provider Agency
  • Dolton, IL
  • NPI 1073108536

  Non-Emergency Medical Transport (Van)

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2021.

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1689269342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14736 DOBSON AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192313",
            "telephone_number": "708-224-6471",
            "fax_number": "708-487-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14736 DOBSON AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192313",
            "telephone_number": "708-224-6471",
            "fax_number": "708-487-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SHERITA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Lavon Downs, PHLEBOTOMIST
• Dr. David E. Miller & Associates, P.C.
• Dr. Isaacs & Dr. Silverglade, LTD
• Qiana Nicole Dukes
• Edwards Transportation Inc
• Epiphany Life Coach Counseling & Resources, LLC
• Faith Connections Home Health and Professional Service Corporation
• Family Christian Health Center
• Phyllis Ferguson Collum, LCSW
• Jennifer Anne Fieten, DT

• All providers in Dolton, IL
• Secured Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.