Organization Active NPI

Edison Stanford

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1700278280
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4988314-4601 Issued in UT
Legal business name
EDISON STANFORD
Practice address
1817 S Main St
7
Salt Lake City, UT 84115-2036
Phone
(801) 485-5595
NPI assigned
Feb 20, 2015
Last updated
Feb 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber A Lloyd, BC-HIS, ACANPI 1255724910
Title
Hearing Instrument Specialist
Phone
(801) 485-5595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4988314-4601 UT Primary

Addresses

Primary practice location

1817 S Main St
7
Salt Lake City, UT 84115-2036

Mailing address

1817 S Main St
7
Salt Lake City, UT 84115-2036
Phone (801) 485-5595

National Provider Directory

National Provider Directory

Locations

1817 S Main St
Ste 7
Salt Lake City, UT 84115
Phone (801) 485-5595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1700278280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 S MAIN ST",
            "address_2": "7",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152036",
            "telephone_number": "801-485-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 S MAIN ST",
            "address_2": "7",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152036",
            "telephone_number": "801-485-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON STANFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "801-485-5595",
        "authorized_official_credential": "BC-HIS, ACA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "4988314-4601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.