OCTAVIA EDWARDS (NPI# 1083020135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083020135 |
| Entity Type | Individual |
| Full Name | OCTAVIA EDWARDS |
| Practice Address |
9441 Lbj Fwy #104 Dallas TX 75243-4545 |
| Practice Telephone | 8665759820 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9441 LBJ FWY #104 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609049097 | Catherine Wright | Physical Therapy Assistant | 9441 Lbj Fwy, Suite 101, Dallas, TX 75243-4545 | 2008-04-08 |
| 1689127607 | Folasade Falana | Speech-Language Pathologist | 9441 Lbj Fwy, 602, Dallas, TX 75243-4545 | 2016-07-26 |
| 1194175844 | Valerie Denise Reed | Speech-Language Pathologist | 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 | 2016-06-14 |
| 1265881320 | Julie Covin | Occupational Therapist | 9441 Lbj Fwy, #602, Dallas, TX 75243-4545 | 2016-06-09 |
| 1679929566 | Stephanie Benson | Respiratory Therapist, Registered | 9441 Lbj Fwy, Sutie 602, Dallas, TX 75243-4545 | 2016-05-10 |
| 1831543917 | Elizabeth Zennedjian | Occupational Therapist | 9441 Lbj Fwy, Dallas, TX 75243-4545 | 2016-04-14 |
| 1184082323 | Stephanie Braun | Occupational Therapist | 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 | 2016-02-02 |
| 1144687989 | Lynn Marie Botta | Spec/Tech, Cardiovascular | 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 | 2016-01-25 |
| 1962869800 | Oluwayeni Ajoke Ropo-tusin | Physical Therapist | 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 | 2016-01-22 |
| 1548633688 | Courtney Breyon Grimes | Occupational Therapist | 9441 Lbj Fwy, Dallas, TX 75243-4545 | 2015-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821478033 | Aubrey Glenn Nelms | Technician, Pathology | 9441 Lbj Fwy, Suite 602, Dallas, TX 75243-4545 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366932501 | Brooke Johnson | Technician, Pathology | 26022 Budde Rd Ste B103, Spring, TX 77380-2014 | 2018-05-14 |
| 1477079556 | Mini Vetticadan | Technician, Pathology | 3245 Reid Dr Ste B, Corpus Christi, TX 78404-2518 | 2017-08-20 |
| 1518342807 | Michael Thai | Technician, Pathology | 15814 Mission Terrace Ct, Houston, TX 77083-5266 | 2015-07-28 |
| 1205227766 | Donald Eugene Prentiss Jr. | Technician, Pathology | 10713 N Ranch Road 620, Bldg E Ste 525, Austin, TX 78726-1756 | 2015-02-05 |
| 1669894598 | Rose Udeh-nwosuocha | Technician, Pathology | 16100 Cairnway Dr Ste 225, Houston, TX 77084-3500 | 2014-01-12 |
| 1891085197 | Cathy Kekeocha | Technician, Pathology | 5755 College St Ste C, Beaumont, TX 77707-3518 | 2011-04-08 |
| 1548598964 | Charlotte Miles Porter | Technician, Pathology | 9210 Hanover Cv, Converse, TX 78109-2947 | 2009-11-23 |
| 1689829418 | Charlotte B Vdovychenko | Technician, Pathology | 2801 Brazos Blvd, Apt 4309, Euless, TX 76039-5435 | 2008-11-20 |
| 1093869489 | Andre Laboratory Inc | Technician, Pathology | 1570 Lomaland, Suite C, El Paso, TX 79935 | 2007-01-22 |
| 1033228127 | Rose Toon | Technician, Pathology | 2718 Barbee St, Houston, TX 77004-5367 | 2006-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.