Elizabeth Faye Edens

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006265 Issued in VA

Practice address

5501 Conduit Rd
Colonial Heights, VA 23834-2121

Phone

(804) 524-3440

NPI assigned

Oct 15, 2021

Last updated

Oct 15, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1811650955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14937 PLEASANT GROVE DR",
            "city": "DISPUTANTA",
            "state": "VA",
            "postal_code": "238424022",
            "telephone_number": "804-731-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 CONDUIT RD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342121",
            "telephone_number": "804-524-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENS",
        "first_name": "ELIZABETH",
        "middle_name": "FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Mae Ducusin
• Smart C Duruegbuso
• Hannah L Dyson, PA-C
• Sharon Miles Easton
• Eckerd Corporation (Rite Aid Pharmacy)
• Odion Edionwele
• Daphne C Edwards, RN, CPNP
• Elizabeth Ann Edwards, FNP-BC
• Grace Edwards, REGISTERED NURSE
• Jaclyn Provau Eldridge, OTR/L

• Speech-Language Pathologist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.