Amy Elizabeth Edwards

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3045 Issued in NC

Practice address

447 Venture Dr Ste D
Smithfield, NC 27577-4765

Phone

(704) 703-8588

NPI assigned

Feb 23, 2022

Last updated

Jul 22, 2025By 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 2

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1891441374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 VENTURE DR STE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774765",
            "telephone_number": "704-703-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 VENTURE DR STE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774765",
            "telephone_number": "704-703-8588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4929 DArcy Woods Ln",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275267622",
            "country_code": "US",
            "telephone_number": "910-810-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "3045",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Echeverria, PA-C
• Eckerd Corporation (Rite Aid Pharmacy 11383)
• Markiesha Willette Edgerton, NP
• Henry Garland Edmundson Jr., MD
• James Michael Edmundson
• Carol Edwards, N.P.
• Christopher Trent Edwards, PHARMD
• Debbie Moore Edwards
• Kimberly Edwards, RD
• Eleventh Judicial District Reentry, Inc.

• Behavior Analyst in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.