Individual provider Active NPI

Yalmikia N Edmonds, HAIR LOSS PRACTIONER

  • Prosthetics Case Management
  • Glen Burnie, MD
National Provider Identifier
1972080083
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
417450 Issued in MD
Practice address
7310 Ritchie Hwy Ste 405
Glen Burnie, MD 21061-3092
Phone
(443) 274-7381
NPI assigned
Jul 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 417450 MD Primary

Addresses

Primary practice location

7310 Ritchie Hwy Ste 405
Glen Burnie, MD 21061-3092

Mailing address

1205 Carli CT
Catonsville, MD 21228-3806
Phone (443) 274-7381

Other identifiers 1

IdentifierTypeStateIssuer
1744P3200XMedicaidMD

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

State licenses

LicenseStateTypeSpecialty
417450MDMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Yalmikiathehairdoctor Prosthetics Case Management Current Accepting new patients
Levonye Professionals LLC Prosthetics Case Management Current Accepting new patients

Locations

7310 Ritchie Hwy
Ste 405
Glen Burnie, MD 21061
Phone (410) 788-6727

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1972080083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CARLI CT",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283806",
            "telephone_number": "443-274-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 405",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613092",
            "telephone_number": "443-274-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "YALMIKIA",
        "middle_name": "N",
        "credential": "HAIR LOSS PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MD",
            "license": "417450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744P3200X",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.