SUSAN RHODES EDWARDS (NPI# 1134245764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134245764 |
| Entity Type | Individual |
| Full Name | SUSAN RHODES EDWARDS |
| Credential | P.T. |
| Practice Address |
210 Black Duck Drive Centreville MD 21617-0000 |
| Practice Telephone | 4107583274 |
| Practice Fax Number | 4107581714 |
| Mailing Telephone | 4107583274 |
| Mailing Fax Number | 4107581714 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 16487 | MD | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS BLUE SHIELD | LT 97 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831416817 | Susan Marder Edwards | Counselor | 533 Cambridge St, Unit 406, Boston, MA 02134-2532 | 2010-04-29 |
| 1366618126 | Susan Marsh Edwards | Psychologist | 5 Red Fox Ln, Richmond, VA 23228-5413 | 2008-05-01 |
| 1013119395 | Susan Louise Edwards | Dentist | 324 Hampstead Dr, Murphy, TX 75094-4298 | 2007-05-31 |
| 1548389174 | Susan Sumner Edwards | Physical Therapy Assistant | 2100 Twin Church Rd, Florence, SC 29501-8222 | 2007-03-28 |
| 1457483349 | Susan Jane Edwards | Psychologist | 2301 E Evesham Rd Ste 206, Voorhees, NJ 08043-4504 | 2007-03-09 |
| 1932260262 | Susan Edwards | Registered Nurse | 7000 E Belleview Ave Ste 310, Greenwood Village, CO 80111-1628 | 2006-12-12 |
| 1811502230 | Susan J Edwards | Counselor | 6927 Old Seward Hwy Ste 201, Anchorage, AK 99518-2284 | 2020-09-11 |
| 1174150270 | Susan L Edwards | Social Worker | 1213 24th St Ste 100, Anacortes, WA 98221-2595 | 2020-03-26 |
| 1962970384 | Susan Edwards | Occupational Therapist | 900 Cooper St, Jackson, MI 49202-3398 | 2018-11-03 |
| 1679076392 | Susan S Edwards | Speech-Language Pathologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-03-09 |
| Street Address |
210 BLACK DUCK DRIVE |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445875 | Bay Hematology Oncology, P.a. | Specialist | 2977 4h Park Rd, Suite 102, Centreville, MD 21617-2232 | 2017-02-10 |
| 1215397807 | Shiraz Kashani | Specialist | 15106 Olddale Rd, Centreville, VA 20120-1410 | 2016-02-25 |
| 1588038863 | Christina Ball | Specialist | 14476 Cool Oak Ln, Centreville, VA 20121-2236 | 2015-11-24 |
| 1679837439 | Shannon Noel Klee | Specialist | 6932 Hovingham Ct, Centreville, VA 20121-2544 | 2012-06-26 |
| 1366748634 | Northern Virginia Gastroenterology, PC | Specialist | 6211 Centreville Road, Suite 500, Centreville, VA 20121-2635 | 2011-02-04 |
| 1376782839 | Judith Ann Grandinetti | Specialist | 6007 Creekstone Ln, Centreville, VA 20120-3408 | 2009-02-06 |
| 1942481890 | Allergy and Asthma Care of The Chesapeake Pa | Specialist | 227 N Liberty St, Centreville, MD 21617-1022 | 2007-11-20 |
| 1891905907 | Susan Dahlstrom Lacroix | Specialist | 13890 Braddock Rd Ste 312, Centreville, VA 20121-2438 | 2007-05-23 |
| 1487725784 | Neda Hashemi | Specialist | 14701 Lee Hwy Ste 303, Centreville, VA 20121-2135 | 2006-11-10 |
| 1790862779 | Chesapeake Cardiology Clinic | Specialist | 406 S Liberty St, Centreville, MD 21617-1224 | 2006-11-01 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
Please comment or provide details below to improve the information on SUSAN RHODES 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.