Active NPI
Le Edna Marie Custer, M.A.
- Psychologist
- Scottsdale, AZ
National Provider Identifier
1700939451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 4525 N Granite Reef Rd
Scottsdale, AZ 85251-1719 - Phone
- (480) 484-2607
- Fax
- (480) 484-2601
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | AZ | Primary |
Addresses
Primary practice location
4525 N Granite Reef Rd
Scottsdale, AZ 85251-1719
Mailing address
PO Box 6041
Carefree, AZ 85377
Phone (480) 575-8544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 579568 | Other | AZ | AHCCS |
Other names 1
- Ms. Le Knight
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1700939451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6041",
"city": "CAREFREE",
"state": "AZ",
"postal_code": "85377",
"telephone_number": "480-575-8544",
"fax_number": "480-575-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 N GRANITE REEF RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852511719",
"telephone_number": "480-484-2607",
"fax_number": "480-484-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSTER",
"first_name": "LE EDNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCS",
"identifier": "579568",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LE",
"last_name": "KNIGHT",
"prefix": "MS.",
"credential": "M.A.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.