DR. TIMOTHY RAY EDWARDS (NPI# 1487929352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487929352 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY RAY EDWARDS |
| Credential | PH.D. |
| Practice Address |
3898 Via Poinciana Drive Suite 13 Lake Worth FL 33467-2951 |
| Practice Telephone | 5619672566 |
| Practice Fax Number | 5619674556 |
| Mailing Telephone | 5619672566 |
| Mailing Fax Number | 5619674556 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH0002581 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355523 | Timothy Marcus Edwards | Case Manager/Care Coordinator | 2560 Billingsley Rd, Columbus, OH 43235-1990 | 2019-09-16 |
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1477603736 | Timothy Leon Edwards | Physical Therapy Assistant | 608 8th Ave East, Springfield, TN 37172 | 2007-01-11 |
| 1437215985 | Timothy Lee Edwards | Dentist | 6600 Perimeter Dr Ste 100, Dublin, OH 43016-8033 | 2006-12-29 |
| 1922465244 | Timothy Edwards | Specialist | 5 Farnham Pl, Port Jeff Sta, NY 11776-3412 | 2016-01-16 |
| 1760583249 | Timothy Lee Edwards | Optometrist | 217 Garrisonville Rd, Stafford, VA 22554-1527 | 2006-09-26 |
| 1023036696 | Timothy Edwards | Optometrist | 121 N Grand Ave W, Springfield, IL 62702-2562 | 2006-07-18 |
| 1356388557 | Timothy J Edwards | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-05-31 |
| 1962408591 | Timothy Freeman Edwards | Specialist | 245 Memorial Dr, Jacksonville, NC 28546-6333 | 2005-06-28 |
| Street Address |
3898 VIA POINCIANA DRIVE SUITE 13 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1689274854 | Nicole Weeks | Counselor | 7053 Copperfield Cir, Lake Worth, FL 33467-7128 | 2020-10-27 |
| 1124633839 | Kelly Boyle | Counselor | 230 S Dixie Hwy Ste 102, Lake Worth, FL 33460-4154 | 2020-09-10 |
| 1003442203 | Kristin Rodriguez | Counselor | 2397 Waterside Dr, Lake Worth, FL 33461-2513 | 2020-03-19 |
| 1942836218 | Debra Blizzard Lmhc Pllc | Counselor | 8461 Lake Worth Rd Ste 125, Lake Worth, FL 33467-2474 | 2020-03-19 |
| 1902385206 | John Daniel Mckeal | Counselor | 3570 Woods Walk Blvd, Lake Worth, FL 33467-2341 | 2018-08-08 |
| 1538653159 | Joycelean Baker | Counselor | 3928 Summer Chase Ct, Lake Worth, FL 33467-2463 | 2018-06-18 |
| 1942792551 | Andrea Anastasia Neeb | Counselor | 5728 Gelding Ct, Lake Worth, FL 33449-5416 | 2018-05-31 |
| 1295231132 | Elizabeth Delicio | Counselor | 99 Plantation Blvd, Lake Worth, FL 33467-6548 | 2018-03-31 |
| 1063964088 | Moriah Emerald Mccarthy | Counselor | 504 5th Ave N, Apt 1, Lake Worth, FL 33460-3101 | 2016-10-25 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
Please comment or provide details below to improve the information on DR. TIMOTHY RAY EDWARDS.
| 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.