IndividualActive
Shasta Edmonds
NPI 1013622000 · Behavior Technician · Mt Juliet, TN
Shasta Edmonds is a Behavior Technician provider in Mt Juliet, TN (NPI 1013622000).
Provider details
- NPI number
- 1013622000
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 S Mount Juliet Rd Ste 235-118
Mt Juliet, TN 37122-6359
Phone: (703) 506-0123
Street-level locationGet directions
Mailing address
938 Tiny Town Rd
Clarksville, TN 37042-4602
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2023-01-16
- Certified
- 2023-01-14
Frequently asked questions
- What is Shasta Edmonds's NPI number?
- Shasta Edmonds's National Provider Identifier (NPI) is 1013622000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shasta Edmonds's specialty?
- Shasta Edmonds is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shasta Edmonds located?
- Shasta Edmonds's practice location on file with NPPES is 401 S Mount Juliet Rd Ste 235-118, Mt Juliet, TN 37122-6359.
- What is Shasta Edmonds's phone number?
- The practice phone number listed in the NPPES registry for Shasta Edmonds is (703) 506-0123.
- Is Shasta Edmonds's NPI active?
- Yes — Shasta Edmonds's NPI (1013622000) is active in the NPPES registry as of the last update on 2023-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.