Marcy Edwards

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1400 N Waverly St
Ponca City, OK 74601-2134

Phone

(580) 762-6668

NPI assigned

Mar 28, 2019

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

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1720549181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 NE WOODLAND RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746043825",
            "telephone_number": "918-520-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WAVERLY ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012134",
            "telephone_number": "580-762-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Duplissey
• David Eagle Sr.
• Earcare of Ponca City Outreach Inc
• Earcare of Ponca City, Inc.
• Amanda Irene Ebert
• Edwin Fair CMHC
• Edwin Fair CMHC
• Edwin Fair CMHC
• Edwin Fair CMHC
• Edwin Fair Community Mental Health Center

• Occupational Therapy Assistant in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.