Jocelyn Grace Edmundson, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

409266 Issued in FL

Practice address

1046 S Florida Ave
Lakeland, FL 33803-1118

Phone

(863) 816-3449

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cannacare Medical Group LLC

  • Clinic/Center
  • Lakeland, FL
  • NPI 1780345728
  NPD Authorized official
• Learning to Achieve Wellness Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandon, FL
  • NPI 1033849575
  NPD

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1801549894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 WALDEN OAKS PL",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335636875",
            "telephone_number": "918-914-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031118",
            "telephone_number": "863-816-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDSON",
        "first_name": "JOCELYN",
        "middle_name": "GRACE",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "409266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drchrono",
            "affiliation": "Y",
            "endpointDescription": "erm",
            "affiliationName": "CannaCare Medical Group LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1046 S Florida Ave",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338031118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Edelmann, ARNP
• Caitlin Pack Edinger, PHARMD
• Mary-Ellen Adele Edmiston, DO
• Ava Edmond
• Darissa Edmonds, LMT
• Education & Empowerment, Inc.
• Maranda Edwards
• Shakayla Antenice Edwards
• Stephanie Edwards, OTR
• Britney Egalite

• Nurse's Aide in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.