Ronda Edgley, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP62704 Issued in ID

Practice address

415 N 3Rd Ave Ste B
Pocatello, ID 83201-6306

Phone

(208) 646-4165

Fax

(208) 646-4195

NPI assigned

Sep 18, 2019

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ronda.edgley.1@32814.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Horizons Healthcare PC

  • Family Nurse Practitioner
  • Pocatello, ID
  • NPI 1366254047
  Medicare reassignment NPD
• Nobility Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pocatello, ID
  • NPI 1720722549
  Medicare reassignment NPD

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1902456262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 3RD AVE STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016306",
            "telephone_number": "208-646-4165",
            "fax_number": "208-646-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 3RD AVE STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016306",
            "telephone_number": "208-646-4165",
            "fax_number": "208-646-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGLEY",
        "first_name": "RONDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "CNP62704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becki Lee Echavez Cheek, LCSW
• William Eckersell, LCPC
• Ed Snell'S Pharmacy Shop
• Derek Eddie, PA-C
• Dellisa Dawn Eddington, NP-C
• Edward a Desano Jr MD PA
• Edwards Enterprises LLC
• Eh Hospice of the West, LLC
• Olivia Lee Eldredge
• Elegant Residential Living Inc

• Nurse Practitioner in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.