Individual provider Active NPI

Myeshia La'Shundra Edwards

  • Behavior Technician
  • Huntsville, AL
National Provider Identifier
1871259960
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
810 Shoney Dr SW Ste 115
Huntsville, AL 35801-5450
Phone
(256) 692-9262
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X AL Primary

Addresses

Primary practice location

810 Shoney Dr SW Ste 115
Huntsville, AL 35801-5450

Mailing address

810 Shoney Dr SW Ste 115
Huntsville, AL 35801-5450
Phone (256) 692-9262

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://datafinch.com/aba-data-collection/

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

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1871259960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW STE 115",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015450",
            "telephone_number": "256-692-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW STE 115",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015450",
            "telephone_number": "256-692-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MYESHIA",
        "middle_name": "LA'SHUNDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://datafinch.com/aba-data-collection/",
            "affiliation": "N",
            "address_1": "810 Shoney Dr SW Ste 115",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358015450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.