{
"Npi": {
"NPI": "1215435060",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "EDMONDS",
"FirstName": "JESSICA",
"MiddleName": "RENEE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MSN, APRN, FNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ROBINS",
"OtherFirstName": "JESSICA",
"OtherMiddleName": "RENEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "369 COLUMBIA AVE APT 417",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90017-1269",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "574-360-2120",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9700 N 91ST ST STE A115",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SCOTTSDALE",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85258-5036",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-833-2273",
"PracticeLocationAddressFaxNumber": "602-613-8353",
"EnumerationDate": "01/26/2018",
"LastUpdateDate": "08/22/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "NP95007470",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}