Tracie Edwards, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3698 Issued in NC

Practice address

312 Warren Ave
Kinston, NC 28501-3840

Phone

(252) 523-0082

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1821718040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WARREN AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013840",
            "telephone_number": "252-523-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WARREN AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013840",
            "telephone_number": "252-523-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TRACIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "3698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "?",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "312 Warren Ave",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285013840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daree Vonsha Edmondson
• Edsons Home Health Care Services
• Edwards Home Care Services
• Christina Crawford Edwards, LCAS
• Robin Edwards, DDS
• Edwin B Cooper, Jr MD PA
• Elizabeth B Saylors, Lpa PLLC (ENC Psychological Services, PLLC)
• Rickie Wade Ellis, M.D.
• Cassidy Dare Elmore, PHARMD
• Claire Eloshway, MSN APRN AGNP-C

• Physical Therapy Assistant in Kinston, NC
• Providers in Kinston, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.