Active NPI
Patrice Latrell Edwards
- Other Technician
- Hattiesburg, MS
National Provider Identifier
1689904922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 2300 Lincoln Rd Apt 5
Hattiesburg, MS 39402-3136 - Phone
- (601) 329-9850
- NPI assigned
- Jan 8, 2010
- Last updated
- Jan 13, 2010
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
2300 Lincoln Rd Apt 5
Hattiesburg, MS 39402-3136
Mailing address
2300 Lincoln Rd Apt 5
Hattiesburg, MS 39402-3136
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1689904922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 LINCOLN RD APT 5",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 LINCOLN RD APT 5",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023136",
"telephone_number": "601-329-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "PATRICE",
"middle_name": "LATRELL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
- Delana Edgar, FNP
- Edward Brown Specialty Partners of Mississippi, PLLC
- Edward Robert Cohen (dr Edward Robert Cohen)
- Ada Catherine Edwards
- Daniel Edwards, M.D., PH.D.
- Ogheneruno Rukevwe Egi, MBS
- Morgan Eguia, OD
- Albert William Eike, RPH
- Eisenhower Army Medical Center (Camp Shelby)
- Eisenhower Army Medical Center (Usadc Camp Shelby 6)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.