Active NPI
Kristen Sheriff Edwards, PT, DPT
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1952652570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39075
- Practice address
- 3772 Mission Ave Ste 122
Oceanside, CA 92058-1404 - Phone
- (760) 630-8400
- NPI assigned
- Sep 21, 2012
- Last updated
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39075 | CA | Primary |
Addresses
Primary practice location
3772 Mission Ave Ste 122
Oceanside, CA 92058-1404
Mailing address
3772 Mission Ave Ste 122
Oceanside, CA 92058-1404
Other names 1
- Kristen Laura Sheriff
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39075 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Health Medical Center, Inc. | Past | Accepting new patients | |
| Direct Health Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Diego Spine & Rehab Inc
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1376744649
-
dba San Diego Spine & Rehab
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Oceanside, CA
- NPI 1164742649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1952652570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3772 MISSION AVE STE 122",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3772 MISSION AVE STE 122",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581404",
"telephone_number": "760-630-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KRISTEN",
"middle_name": "SHERIFF",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-21",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "SHERIFF",
"middle_name": "LAURA",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.