Individual provider Active NPI

Marnique Edwards

  • Homemaker
  • Alachua, FL
National Provider Identifier
1912643149
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
15703 NW 138TH Ter
Alachua, FL 32615-5872
Phone
(352) 213-0936
Fax
(352) 328-3621
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Adult Companion 372600000X
Homemaker 376J00000X Primary

Addresses

Primary practice location

15703 NW 138TH Ter
Alachua, FL 32615-5872

Mailing address

15703 NW 138TH Ter
Alachua, FL 32615-5872
Phone (352) 329-2028

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL admin@unique-qualitycare.com

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1912643149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15703 NW 138TH TER",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326155872",
            "telephone_number": "352-329-2028",
            "fax_number": "352-328-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15703 NW 138TH TER",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326155872",
            "telephone_number": "352-213-0936",
            "fax_number": "352-328-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARNIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@unique-qualitycare.com",
            "affiliation": "N",
            "address_1": "15703 NW 138th Ter",
            "city": "Alachua",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326155872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alachua, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.