WANDA E EDWARDS (NPI# 1720086697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720086697 |
| Entity Type | Individual |
| Full Name | WANDA E EDWARDS |
| Other Name | WANDA ELOISE - ROBINSON EDWARDS |
| Credential | NP |
| Practice Address |
5600 W Maple Rd Suite B 206 West Bloomfield MI 48322-3704 |
| Mailing Address |
14409 Ashton Rd Detroit MI 48223-3584 |
| Practice Telephone | 3132704888 |
| Practice Fax Number | 3132704883 |
| Mailing Telephone | 3138378756 |
| Mailing Fax Number | 3132704883 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
4704102153 | MI | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704102153 | MI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704102153 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 0861058 | 01 |
| MI | VALUE OPTIONS - PROVIDER CONNECT USER ID | 693558 | 01 |
| MI | MEDICARE - PTAN | M16694 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477054849 | Wanda Faye Edwards | Licensed Practical Nurse | 5666 Longbow Dr, Stone Mountain, GA 30087-5230 | 2018-02-21 |
| 1043453756 | Wanda Edwards | Physical Therapy Assistant | 7504 Woodknoll D, Charlotte, NC 28217 | 2009-04-10 |
| 1174601488 | Wanda Edwards | Psychologist | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2006-11-02 |
| Street Address |
5600 W MAPLE RD SUITE B 206 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841317 | Upsurge Counseling and Consulting, LLC | Social Worker | 5600 W Maple Rd, West Bloomfield, MI 48322-3704 | 2019-10-07 |
| 1437630480 | Morgan Hadden | Psychologist | 5600 W Maple Rd, West Bloomfield, MI 48322-3704 | 2018-08-28 |
| 1861905838 | Valorie Starr Evans | Social Worker | 5600 W Maple Rd, West Bloomfield, MI 48322-3704 | 2017-11-13 |
| 1053796557 | Embracing Life Counseling, LLC | Point of Service | 5600 W Maple Rd, Suite C-302, West Bloomfield, MI 48322-3704 | 2015-07-25 |
| 1922416577 | Tomeka Liscombe | Counselor | 5600 W Maple Rd, Suite 213, West Bloomfield, MI 48322-3704 | 2014-07-28 |
| 1518389188 | Pathways Counseling Group | Counselor | 5600 W Maple Rd, D401, West Bloomfield, MI 48322-3704 | 2014-01-15 |
| 1659711703 | Toby Beach | Social Worker | 5600 W Maple Rd, Ste. A-150, West Bloomfield, MI 48322-3704 | 2013-07-02 |
| 1235578832 | Ann Marie Collins Phd Pmhnp Lpc | Psychologist | 5600 W Maple Rd, Ste B-206, West Bloomfield, MI 48322-3704 | 2013-06-18 |
| 1053677385 | Community Choice Care Network Inc | Hospice Care, Community Based | 5600 W Maple Rd, Suite B- 213, West Bloomfield, MI 48322-3704 | 2012-04-11 |
| 1063780146 | Bloomfield Counseling,p.c. | Psychologist | 5600 W Maple Rd, Suite B-208, West Bloomfield, MI 48322-3704 | 2011-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922354653 | Darcie Ann Dibasio | Nurse Practitioner | 5600 W Maple Rd Ste B204, West Bloomfield, MI 48322-3707 | 2012-07-31 |
| 1528496502 | Ashley Elizabeth Twarog | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
Please comment or provide details below to improve the information on WANDA E 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.