Carla Marie Edwards, PH.D., L.AC., DIPL O

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.000601 Issued in IL

Practice address

1601 Sherman Ave
Suite 200
Evanston, IL 60201

Phone

(847) 525-1309

Fax

(847) 859-6100

NPI assigned

Jun 14, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1922360973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GREENWOOD ST",
            "address_2": "UNIT 105",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013979",
            "telephone_number": "847-525-1309",
            "fax_number": "847-859-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SHERMAN AVE",
            "address_2": "SUITE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-525-1309",
            "fax_number": "847-859-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CARLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.AC., DIPL O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Edelman, RP
• Robert R Edelman, MD
• Linda Nan Edelstein, PH.D.
• Edge Medical Services
• Edward M. Atkins, M.D.,S.C.
• Kathryn Mary Eifrid, PA-C
• Eileen H Glenn Ma LCPC LLC
• Liesl Einerson, LCSW
• Robin Gail Eisen, P.T.
• Julie B Eisengart, PH.D.

• Acupuncturist in Evanston, IL
• Providers in Evanston, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.