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NICHOLAS JAMES EDGE
NPI 1770939308
Case Manager/Care Coordinator in South Lake Tahoe, CA

Active since May 12, 2016
1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 573-7970 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 25, 2024, May 16, 2016, May 12, 2016 (3 updates tracked since 2016).

About Nicholas James Edge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS JAMES EDGE (NPI 1770939308) is an individual case manager/care coordinator provider in South Lake Tahoe, California and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1770939308
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameNICHOLAS JAMES EDGE
Location Address1900 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6305
Mailing Address995 Gateway Center WaySan Diego, CA 92102-4500 · (619) 398-2196
Phone(530) 573-7970
Sole ProprietorYes
Enumeration DateMay 12, 2016
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1770939308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1900 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MARIE MAVON
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7927
JASON EDWARD MOORE
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7970
DR. JUANITA LERMA HERNANDEZ-MORIN PSY.D.
Psychologist (Clinical)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7993
COUNTY OF EL DORADO
Community/Behavioral Health
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 621-6207
SHERESE CHRETIEN
Psychologist
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7909
ELIZABETH DRABANT
Social Worker (Clinical)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7970
SHEREE SMAIL
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7861
SUSAN ARIANA TARISA BENHAM
Social Worker
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 318-4824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Edge's NPI number?

The NPI number for Nicholas Edge is 1770939308. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Nicholas Edge located?

Nicholas Edge practices at 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 573-7970.

What is Nicholas Edge's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Edge was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.