MRS. KELLY GARDNER EDWARDS (NPI# 1225283450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225283450 |
| Entity Type | Individual |
| Full Name | MRS. KELLY GARDNER EDWARDS |
| Credential | RN, MSN, FNP/WHNP-BC |
| Practice Address |
8210 Renaissance Pkwy Durham NC 27713-6688 |
| Practice Telephone | 9194250001 |
| Mailing Telephone | 9194250001 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2013-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201837 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
201837 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205498110 | Kelly Jo Edwards | Nurse Practitioner | 12002 Bandera Rd Ste 111, Helotes, TX 78023-4669 | 2019-07-01 |
| 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 |
| Street Address |
8210 RENAISSANCE PKWY |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740261759 | Shauna Marlene Coleman | Nurse Practitioner | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2005-11-07 |
| 1942807722 | Brock Richardson | Pharmacist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2020-10-05 |
| 1598269326 | Rtp Vision Od Pa | Optometrist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2018-03-19 |
| 1710377361 | Andrew Moluf | Pharmacy Technician | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2015-02-03 |
| 1306236955 | Rian Bigelow | Pharmacy Technician | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2015-02-03 |
| 1093118739 | Laura Ramsdell | Pharmacist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2014-10-08 |
| 1215277025 | Inview Eye Care | Optometrist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2013-02-15 |
| 1336415017 | New Vision Eye Care, Od Pa | Optometrist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2012-03-28 |
| 1881981686 | Jennifer Barker White | Pharmacist | 8210 Renaissance Pkwy, T-2069, Durham, NC 27713-6688 | 2011-06-30 |
| 1477849495 | Emilie Helen Raddin | Pharmacist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1306460340 | Francia Elena Marin | Nurse Practitioner | 6009 Garrett Rd, Durham, NC 27707-5349 | 2020-06-05 |
| 1154959658 | Allyson Kaye-winston Scott | Nurse Practitioner | 108 Oakmont Ave, Durham, NC 27713-1558 | 2020-03-30 |
| 1245866235 | Rosalyn Carson | Nurse Practitioner | 3710 Shannon Rd # 52570, Durham, NC 27707-6327 | 2020-03-21 |
| 1730726498 | Georgia Darby Smith | Nurse Practitioner | 20 Duke Medicine Circle Clinic 2-2 Gyn-oncology, Durham, NC 27710-0001 | 2019-12-02 |
| 1639728801 | Tyra Tameka Gray | Nurse Practitioner | 225 Lodestone Dr, Durham, NC 27703-6634 | 2019-09-10 |
| 1134781453 | Godwin C Nweke | Nurse Practitioner | 3632 Ranbir Dr, Durham, NC 27713-1793 | 2019-07-08 |
| 1114586948 | Hadja Thiam | Nurse Practitioner | 40 Medicine Circle Clinic 2b, Durham, NC 27710-0001 | 2019-06-05 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1013434257 | Stephanie Howard Spaulding | Nurse Practitioner | 40 Duke Medical Cir # 1j, Durham, NC 27710-3006 | 2017-08-28 |
| Find all providers in DURHAM | ||||
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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.