LORI DAWN EDENFIELD (NPI# 1003907957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003907957 |
| Entity Type | Individual |
| Full Name | LORI DAWN EDENFIELD |
| Credential | ARNP BC |
| Practice Address |
1410 Brickyard Rd Samuel E Ward Md Pl Chipley FL 32428 |
| Mailing Address |
1410 Brickyard Rd Chipley FL 32428 |
| Practice Telephone | 8506383400 |
| Practice Fax Number | 8506389611 |
| Mailing Telephone | 8506383400 |
| Mailing Fax Number | 8506389611 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP3139042 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1410 BRICKYARD RD SAMUEL E WARD MD PL |
| City | CHIPLEY |
| State | FL |
| Zip Code | 32428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319695 | Samuel E Ward Md Pl | Family Medicine | 1410 Brickyard Rd, Chipley, FL 32428 | 2006-01-05 |
| 1598272650 | Northwest Florida Healthcare, Inc. | Clinic/Center | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2018-01-10 |
| 1114217221 | Zachary William Dickson | Nurse Practitioner | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2011-04-10 |
| 1811215130 | Dermatology Associates | Dermatology | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2010-05-11 |
| 1396997193 | Jeffery Thomas Horton | Nurse Practitioner | 1410 Brickyard Rd, Chipley, Chipley, FL 32428-5966 | 2008-10-13 |
| 1124117809 | Belinda Gail Parker Mcrae | Nurse Practitioner | 1410 Brickyard Rd, Samuel E Ward Md Pl, Chipley, FL 32428 | 2006-10-12 |
| 1982661757 | Samuel Edward Ward | Family Medicine | 1410 Brickyard Rd, Chipley, FL 32428 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245590918 | Restore Therapy and Wellness, Inc. | Clinic/Center | 877 Third Street, Suite 1, Chipley, FL 32428 | 2012-05-29 |
| 1851470827 | Washington County School Board | Local Education Agency (LEA) | 652 3rd Street, Chipley, FL 32428 | 2006-11-02 |
| 1578659769 | Arthur Clayton Zediker | Dentist | 5016 Pine Ridge Dr, Chipley, FL 32428 | 2006-10-05 |
| 1528159480 | Teresa Lynn Seay | Nurse Practitioner | 1351 South Blvd, Chipley, FL 32428 | 2006-09-27 |
| 1386753044 | Jack Rogers Taylor | Dentist | 843 Hwy 277, Chipley, FL 32428 | 2006-08-29 |
| 1992818447 | William Edwin Cox IIi | Dentist | 699 2nd St, Chipley, FL 32428 | 2006-08-17 |
| 1407309867 | Doris M Roberts | Nurse Practitioner | 4455 Sam Mitchell Dr, Chipley, FL 32428 | 2016-08-02 |
| 1114017548 | Robert W Snare Md Pa | General Practice | 1187 Main St, Ste 3, Chipley, FL 32428 | 2006-10-14 |
| 1174700397 | Taylor Chiropractic Corp | Chiropractor | 682 5th St, Chipley, FL 32428-1430 | 2008-01-30 |
| 1649206954 | Life Management Center of Northwest Florida, Inc. | Counselor | 686 5th St, Chipley, FL 32428-1430 | 2006-06-26 |
| Find all providers in zip 32428 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339320 | Amy Hildebrand | Nurse Practitioner | 767 Sewell Farms Rd, Chipley, FL 32428-6324 | 2018-06-13 |
| 1528159480 | Teresa Lynn Seay | Nurse Practitioner | 1351 South Blvd, Chipley, FL 32428 | 2006-09-27 |
| 1477049591 | Brandi L Rotello | Nurse Practitioner | 879 Usery Rd, Chipley, FL 32428-9303 | 2018-07-02 |
| 1104347004 | Katelyn Hicks | Nurse Practitioner | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2017-06-29 |
| 1871013441 | Dorothy Dianne Cash | Nurse Practitioner | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2017-06-23 |
| 1407309867 | Doris M Roberts | Nurse Practitioner | 4455 Sam Mitchell Dr, Chipley, FL 32428 | 2016-08-02 |
| 1467875005 | Glen Charles Nobles Jr. | Nurse Practitioner | 1338 South Blvd, Chipley, FL 32428-1846 | 2014-02-03 |
| 1407140478 | Leann C Davidson | Nurse Practitioner | 1376 Brickyard Rd Ste 5, Chipley, FL 32428-6392 | 2011-06-07 |
| 1114217221 | Zachary William Dickson | Nurse Practitioner | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2011-04-10 |
| 1700030863 | Donna Eugenia Porter | Nurse Practitioner | 1338 South Blvd, Chipley, FL 32428-1846 | 2008-11-15 |
| Find all providers in CHIPLEY | ||||
Please comment or provide details below to improve the information on LORI DAWN EDENFIELD.
| 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.