KELLY JO EDWARDS (NPI# 1205498110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205498110 |
| Entity Type | Individual |
| Full Name | KELLY JO EDWARDS |
| Credential | FNP |
| Practice Address |
12002 Bandera Rd Ste 111 Helotes TX 78023-4669 |
| Practice Telephone | 2106959044 |
| Practice Fax Number | 2106959044 |
| Mailing Telephone | 2106959002 |
| Mailing Fax Number | 2106959044 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP141883 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259595 | Kelly Devota Edwards | Student in an Organized Health Care Education/Training Program | 100 North Washington St Station 14, Livingston, AL 35470 | 2015-11-03 |
| 1952747271 | Kelly L Edwards | Nurse Practitioner | 4054 State Route 52, Youngsville, NY 12791-0595 | 2013-05-14 |
| 1285880724 | Kelly D. Edwards | Nurse Practitioner | 1110 Highlands Plaza Dr East, Ste 300, Saint Louis, MO 63110-1353 | 2008-08-15 |
| 1346389483 | Kelly Roxanne Edwards | Physical Therapist | 1150 W Morton Ave Ste B, Porterville, CA 93257 | 2007-02-05 |
| 1245871201 | Kelly Harold Edwards | Counselor | 4807 Spicewood Springs Rd, Building 1, #1140, Austin, TX 78759 | 2019-10-01 |
| 1720447352 | Kelly Edwards | Nurse Anesthetist, Certified Registered | 3333 Cattlemen Rd, Sarasota, FL 34232-6056 | 2016-02-10 |
| 1548670136 | Kelly Edwards | Registered Nurse | 908 N Elm St, Suite 109, Hinsdale, IL 60521-3635 | 2014-05-05 |
| 1063787208 | Kelly Edwards | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2012-03-21 |
| 1588944243 | Kelly Ann Edwards | Registered Nurse | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2011-08-25 |
| 1225283450 | Kelly Gardner Edwards | Nurse Practitioner | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2008-12-02 |
| Street Address |
12002 BANDERA RD STE 111 |
| City | HELOTES |
| State | TX |
| Zip Code | 78023-4669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750743696 | Natalya Bejar | Dentist | 12415 Bandera, 110, Helotes, TX 78023 | 2016-03-21 |
| 1235317470 | Jeffrey Mays Hart | Optometrist | 21325 Private Road 177, Helotes, TX 78023 | 2008-02-08 |
| 1528260544 | Candace Clare Lochridge | Physical Therapy Assistant | 11018 Chicory Field, Helotes, TX 78023 | 2007-06-01 |
| 1538299383 | Jose Antonio Brigman | Dentist | 12415 Bandera Rd., Suite 110, Helotes, TX 78023 | 2007-03-07 |
| 1720148778 | Marlena L. Pomelow | Dentist | 14938 San Pasqual, Helotes, TX 78023 | 2006-12-11 |
| 1790855716 | Mohamed Farouk Mitwally | Obstetrics & Gynecology | 122 Candelaria, Helotes, TX 78023 | 2006-11-08 |
| 1992811889 | Thomas J Haberman Dds PC | Dentist | 13438 Bandera Rd, #202, Helotes, TX 78023 | 2006-08-22 |
| 1871521823 | Karen T. Allsup | Obstetrics & Gynecology | 12850 Bandera Rd Ste 106, Helotes, TX 78023 | 2006-06-29 |
| 1396726725 | Thp Inc | Durable Medical Equipment & Medical Supplies | 12914 Bandera Hwy, Helotes, TX 78023 | 2005-11-11 |
| 1760472948 | Imam Eko Tjahja | Internal Medicine | 12340 Bandera Rd Ste 104, Helotes, TX 78023 | 2005-10-27 |
| Find all providers in zip 78023 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435930 | Suseela Narayanan | Nurse Practitioner | 13123 Essen Frst, Helotes, TX 78023-3771 | 2020-10-23 |
| 1386101277 | Amanda L. Inglish | Nurse Practitioner | 12274 Bandera Rd Ste 104, Helotes, TX 78023-4386 | 2019-02-27 |
| 1376931709 | Christopher Garcia | Nurse Practitioner | 15630 Ruidosa Run, Helotes, TX 78023-4489 | 2015-01-08 |
| 1992911499 | Sherry Price | Nurse Practitioner | 14172 Antonio Dr, Helotes, TX 78023-3913 | 2007-05-14 |
| 1013308535 | Christopher Garcia | Nurse Practitioner | 15630 Ruidosa Run, Helotes, TX 78023-4489 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.