Individual provider Active NPI

Vonetta Edwards, RDMS

  • Sonography Radiologic Technologist
  • Glenn Dale, MD
National Provider Identifier
1992458434
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
135698 Issued in MD
Practice address
6312 Wood Pointe Dr
Glenn Dale, MD 20769-2106
Phone
(301) 455-0849
NPI assigned
Feb 3, 2022
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 135698 MD Primary

Addresses

Primary practice location

6312 Wood Pointe Dr
Glenn Dale, MD 20769-2106

Mailing address

6312 Wood Pointe Dr
Glenn Dale, MD 20769-2106
Phone (301) 455-0849

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
135698MDMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sono It LLC Sonography CurrentSince Feb 6, 2022 Accepting new patients
Womens Health Care Specialists LLC Past Accepting new patients

Locations

7307 Baltimore Ave
Ste 109
College Park, MD 20740
Phone (301) 337-8455

7525 Greenway Center Dr
Ste T9
Greenbelt, MD 20770
Phone (301) 455-0849

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.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1992458434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 WOOD POINTE DR",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207692106",
            "telephone_number": "301-455-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 WOOD POINTE DR",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207692106",
            "telephone_number": "301-455-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "VONETTA",
        "credential": "RDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "MD",
            "license": "135698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.