Richard Edwards

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

675539900 Issued in FL

Practice address

234 SE Ammons Ave
Madison, FL 32340-3091

Phone

(850) 253-3732

Fax

(850) 973-6663

NPI assigned

Mar 14, 2014

Last updated

Mar 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Richard Edwards Construction

  • Preferred Provider Organization
  • Madison, FL
  • NPI 1801292826
  NPD (past) Authorized official

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1811313810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SE AMMONS AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323403091",
            "telephone_number": "850-673-9897",
            "fax_number": "850-973-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 SE AMMONS AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323403091",
            "telephone_number": "850-253-3732",
            "fax_number": "850-973-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "675539900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "675539900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• District School Board of Madison County
• Stephanie Doyle, APRN-BC
• Adolfo Cardenas Dulay, MD
• Duramed Medical Services
• Annie Laura Dyke, RN
• Emma's Helping Hands
• Charles Wesley Evans, RPH
• Victory Clairissa Elizabeth Evans, PHARMD
• Falo Hill
• Family First Wellness Clinic, LLC

• Home Modifications Contractor in Madison, FL
• Providers in Madison, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.