Active NPI
Anne Edwardson
- Pediatric Occupational Therapist
- El Cajon, CA
National Provider Identifier
1780009811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 6550
- Practice address
- 1609 E Madison Ave
El Cajon, CA 92019-1046 - Phone
- (619) 588-3166
- NPI assigned
- Feb 26, 2014
- Last updated
- Feb 26, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 6550 | CA | Primary |
Addresses
Primary practice location
1609 E Madison Ave
El Cajon, CA 92019-1046
Mailing address
1609 E Madison Ave
El Cajon, CA 92019-1046
Phone (619) 588-3166
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6550 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1780009811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 E MADISON AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920191046",
"telephone_number": "619-588-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 E MADISON AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920191046",
"telephone_number": "619-588-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDSON",
"first_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "6550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.