SANDRA EDWARDS (NPI# 1174148340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174148340 |
| Entity Type | Individual |
| Full Name | SANDRA EDWARDS |
| Practice Address |
920 Frederica St Ste 204 Owensboro KY 42301-3077 |
| Mailing Address |
Po Box 22619 Owensboro KY 42303 |
| Practice Telephone | 2705745600 |
| Practice Fax Number | 2705745609 |
| Mailing Telephone | 2705745600 |
| Mailing Fax Number | 2705745609 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3014693 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100689400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366803264 | Sandra Edwards | Nurse Practitioner | 23 Maxwell Dr, Westbury, NY 11590-2815 | 2016-03-19 |
| 1538509468 | Sandra Marie Edwards | Counselor | 13081 Rawsonville Rd, Belleville, MI 48111-9401 | 2013-06-25 |
| 1336387398 | Sandra Lee Edwards | Social Worker | 633 Olmstead Ave, Suite # 3a, Bronx, NY 10473-1745 | 2009-01-29 |
| 1750542908 | Sandra Ann Edwards | Nurse Practitioner | 208 Student Health Stadium Rd, Stony Brook, NY 11794-0001 | 2008-06-20 |
| 1588662365 | Sandra Milburn Edwards | Dentist | 210 Thunderbird Dr, Suite V, El Paso, TX 79912-3910 | 2005-07-14 |
| 1245842624 | Sandra Ann Edwards | Technician | 725 Stewart St, Welch, WV 24801-2125 | 2020-08-18 |
| 1568628758 | Sandra Linn Edwards | Counselor | 801 S Main St, Suite 5, Stillwater, OK 74074-4642 | 2008-08-06 |
| 1609059278 | Sandra Edwards | Nurse Practitioner | 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 | 2007-12-06 |
| 1396869616 | Sandra S Edwards | Preventive Medicine | 110 Oxmoor Ct, Birmingham, AL 35209-6341 | 2007-03-19 |
| 1043353790 | Sandra Joann Edwards | General Practice | 1610 Washington Blvd, Kansas City, KS 66102-2842 | 2007-02-14 |
| Street Address |
920 FREDERICA ST STE 204 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871602953 | Peter W Demko | Dentist | 920 Frederica St Ste 204, Owensboro, KY 42301-3077 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773953 | Melanie Lorene Stanishia | Nurse Practitioner | 4409 Fairbairn Ct, Owensboro, KY 42303-2656 | 2019-11-06 |
| 1679826143 | Monica Johnson | Nurse Practitioner | 100 W 3rd St Ste 305, Owensboro, KY 42303-4129 | 2012-10-22 |
| 1689274912 | Colleen Elizabeth Bosley | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-27 |
| 1033725353 | Cheryl Elder | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-09-22 |
| 1760028104 | Allison Warnick | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-20 |
| 1093350928 | Megan Marie Phillips | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-14 |
| 1720622038 | Daniel J Crowe | Nurse Practitioner | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2019-10-30 |
| 1497313829 | Lori Yvonne Quinn | Nurse Practitioner | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2019-05-31 |
| 1154899805 | Audrey L Cavins-ezell | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2018-11-10 |
| 1891261194 | Anessa Lee Holman | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2018-10-15 |
| Find all providers in OWENSBORO | ||||
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| 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.