SARAH A. EDMONDS (NPI# 1356531057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356531057 |
Entity Type | Individual |
Full Name | SARAH A. EDMONDS |
Credential | PHD |
Practice Address |
300 E Willis St Suite E Prescott AZ 86301-3110 |
Practice Telephone | 9288304661 |
Mailing Telephone | 9288304661 |
Enumeration Date | 2007-07-28 |
Last Update Date | 2015-03-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
3481 | AZ | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE PTAN | Z117798 | 01 |
AZ | AHCCCS PROVIDER ID | 506857 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821230756 | Sarah Victoria Edmonds | Registered Nurse | 823 Nw 6th St, Pendleton, OR 97801-1321 | 2009-03-24 |
1265092233 | Sarah Edmonds | Nurse Practitioner | 1787 Veterans Blvd Ste 101, Sevierville, TN 37862-6946 | 2019-06-20 |
Street Address |
300 E WILLIS ST SUITE E |
City | PRESCOTT |
State | AZ |
Zip Code | 86301-3110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598150088 | Sarah Edmonds Phd Pllc | Psychologist | 300 E Willis St, Suite E, Prescott, AZ 86301-3110 | 2015-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
Find all providers in zip 86301 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063978997 | Vera Kurzkurt | Psychologist | 500 N Us Highway 89 Bldg 151, Prescott, AZ 86313-5001 | 2019-02-15 |
1962904193 | Shannon Tromp | Psychologist | 4499 E State Route 69, Prescott, AZ 86301-6731 | 2018-03-03 |
1336357953 | Patricia L. Watson | Psychologist | 948 Rough Diamond Dr, Prescott, AZ 86301-6832 | 2007-05-18 |
1871637322 | Betty Lee Darby | Psychologist | 1129 W Iron Springs Rd, #213, Prescott, AZ 86305-1623 | 2007-02-17 |
1871603225 | Nancy G Burns | Psychologist | 1680 Iron Springs Rd, Ste 103, Prescott, AZ 86305-3313 | 2006-08-30 |
1962433425 | David Dale Fero | Psychologist | 500 Highway 89, Mental Health 116, Prescott, AZ 86313 | 2006-07-05 |
1730119942 | Elaine Arena Hodge | Psychologist | 211 Grove Ave, Prescott, AZ 86301-5737 | 2006-07-04 |
1619930526 | Karen Lynn Sullivan | Psychologist | 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 | 2006-04-11 |
1952386708 | Daniel Fallon | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2005-12-14 |
1750849865 | Bethany Bates | Psychologist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-03-07 |
Find all providers in PRESCOTT |
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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.