SUSAN T EDWARDS (NPI# 1275818817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275818817 |
| Entity Type | Individual |
| Full Name | SUSAN T EDWARDS |
| Credential | ANP |
| Practice Address |
640 Parkwood Medical Park Elkin NC 28621-2487 |
| Mailing Address |
Po Box 249 Yadkinville NC 27055-0249 |
| Practice Telephone | 3365267997 |
| Practice Fax Number | 3365263537 |
| Mailing Telephone | 3366794963 |
| Mailing Fax Number | 3366792549 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2012-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5005363 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831416817 | Susan Marder Edwards | Counselor | 533 Cambridge St, Unit 406, Boston, MA 02134-2532 | 2010-04-29 |
| 1366618126 | Susan Marsh Edwards | Psychologist | 5 Red Fox Ln, Richmond, VA 23228-5413 | 2008-05-01 |
| 1013119395 | Susan Louise Edwards | Dentist | 324 Hampstead Dr, Murphy, TX 75094-4298 | 2007-05-31 |
| 1548389174 | Susan Sumner Edwards | Physical Therapy Assistant | 2100 Twin Church Rd, Florence, SC 29501-8222 | 2007-03-28 |
| 1134245764 | Susan Rhodes Edwards | Specialist | 210 Black Duck Drive, Centreville, MD 21617-0000 | 2007-03-22 |
| 1457483349 | Susan Jane Edwards | Psychologist | 2301 E Evesham Rd Ste 206, Voorhees, NJ 08043-4504 | 2007-03-09 |
| 1932260262 | Susan Edwards | Registered Nurse | 7000 E Belleview Ave Ste 310, Greenwood Village, CO 80111-1628 | 2006-12-12 |
| 1811502230 | Susan J Edwards | Counselor | 6927 Old Seward Hwy Ste 201, Anchorage, AK 99518-2284 | 2020-09-11 |
| 1174150270 | Susan L Edwards | Social Worker | 1213 24th St Ste 100, Anacortes, WA 98221-2595 | 2020-03-26 |
| 1962970384 | Susan Edwards | Occupational Therapist | 900 Cooper St, Jackson, MI 49202-3398 | 2018-11-03 |
| Street Address |
640 PARKWOOD MEDICAL PARK |
| City | ELKIN |
| State | NC |
| Zip Code | 28621-2487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285824 | Tomas Vybiral | Internal Medicine | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2005-06-16 |
| 1235514340 | Kathryn H Felts | Nurse Practitioner | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2015-07-30 |
| 1477985430 | Brmg-pc | Family Medicine | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2013-08-01 |
| 1356688485 | Melanie F Morrison | Nurse Practitioner | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2013-01-09 |
| 1700121738 | Sheri Jean Komdeur | Nurse Practitioner | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2012-12-03 |
| 1447525845 | Jamie E Castle | Nurse Practitioner | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2012-03-19 |
| 1265706246 | Summer L Bartz | Nurse Practitioner | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2012-03-08 |
| 1841472636 | Hakan Cinemre | Specialist | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2007-12-04 |
| 1851363311 | Blue Ridge Cardiology and Internal Medicine Pa | Internal Medicine | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2006-02-07 |
| 1700858404 | Tamas Soos | Internal Medicine | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
| 1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
| 1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
| 1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
| 1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
| 1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
| 1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
| 1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
| 1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
| 1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
| Find all providers in zip 28621 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700121738 | Sheri Jean Komdeur | Nurse Practitioner | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2012-12-03 |
| 1447525845 | Jamie E Castle | Nurse Practitioner | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2012-03-19 |
| 1801051032 | Jennifer Coe Marion | Nurse Practitioner | 500 Chatham Medical Park, Elkin, NC 28621-2481 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260451 | Jo Ellen Inman-puckett | Nurse Practitioner | 31 Swiss Pine Ct, Spruce Pine, NC 28777-8704 | 2020-09-16 |
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1255959573 | Kathryn Allman | Nurse Practitioner | 104 Brighton Ct, Chapel Hill, NC 27516-9005 | 2020-07-13 |
| 1326665142 | Mary Ann Todd | Nurse Practitioner | 5508 7 Lks W, West End, NC 27376-9336 | 2020-06-27 |
| 1538785118 | Amanda S. Morgan | Nurse Practitioner | 600 Hospital Dr Ste 9, Clyde, NC 28721-8046 | 2020-06-19 |
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1265055271 | Pamela Duncan | Nurse Practitioner | 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 | 2020-05-26 |
| 1689297715 | Heather Bryce Futrell | Nurse Practitioner | 115 Joe Kanaris Rd, Rockingham, NC 28379-8063 | 2020-05-23 |
| 1871116103 | Lynn Chanell Hicks | Nurse Practitioner | 3221 Nontucket Ln, Hope Mills, NC 28348-9054 | 2020-05-20 |
| 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.