Active NPI
Tanisha Edwards
- Chore Provider
- Grand Prairie, TX
National Provider Identifier
1790301141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 5943 Ridgeway Dr
Grand Prairie, TX 75052-0444 - Phone
- (817) 404-7733
- NPI assigned
- Jun 22, 2020
- Last updated
- Dec 5, 2022
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary | ||
| Adult Companion | 372600000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Case Manager/Care Coordinator | 171M00000X | TX |
Addresses
Primary practice location
5943 Ridgeway Dr
Grand Prairie, TX 75052-0444
Mailing address
5943 Ridgeway Dr
Grand Prairie, TX 75052-0444
Phone (817) 404-7733
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards Elite Labs Express | Current | Accepting new patients | |
| Edwards Housing LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1457002933
-
- Mental Illness Community Based Residential Treatment Facility
- Arlington, TX
- NPI 1750982047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1790301141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 RIDGEWAY DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750520444",
"telephone_number": "817-404-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5943 RIDGEWAY DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750520444",
"telephone_number": "817-404-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "TANISHA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-22",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
- Eccential Heaith Services (michael care continuum)
- Eccential Health Services Inc (Michael Care Continuum)
- Eden Serenity Homes LLC
- Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
- Educare Community Living Corporation - Texas (All Ways Caring HomeCare)
- Philips Efe, LPC
- Elizabeth Egbuchinem
- Carla J Egyed, PH.D.
- Omonoh Ehi
- Vivian Eiland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.