KELLY D. EDWARDS


Address: 1110 Highlands Plaza Dr East, Ste 300, Saint Louis, MO 63110-1353
Phone: 3142862620

KELLY D. EDWARDS (NPI# 1285880724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285880724
Entity Type Individual
Full Name KELLY D. EDWARDS
Credential FNP-BC
Practice Address 1110 Highlands Plaza Dr East
Ste 300
Saint Louis
MO 63110-1353
Mailing Address 670 Mason Ridge Center Dr
Ste. 300
Saint Louis
MO 63141-8573
Practice Telephone 3142862620
Practice Fax Number 3142862621
Mailing Telephone 3142862620
Mailing Fax Number 3142862621
Enumeration Date 2008-08-15
Last Update Date 2012-02-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
116778 MO Physician Assistants & Advanced Practice Nursing Providers

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1952747271 Kelly L Edwards Nurse Practitioner 4054 State Route 52, Youngsville, NY 12791-0595 2013-05-14
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

Office Location

Street Address 1110 HIGHLANDS PLAZA DR EAST
STE 300
City SAINT LOUIS
State MO
Zip Code 63110-1353

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720816 Blake Christian Cory Nurse Practitioner 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 2020-11-08
1265032346 Sara Lynn Gillespie Nurse Practitioner 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 2020-10-28
1174123509 Megan Ashley Wagner Nurse Practitioner 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 2020-10-26
1467059972 Anissa Rasul Nurse Practitioner 10631 Thayer Dr, Saint Louis, MO 63123-6018 2020-10-07
1124635388 Brittney Sherrell Burks Nurse Practitioner 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 2020-09-30
1629684865 Nicole Burdge Nurse Practitioner 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 2020-09-22
1932724614 Oluwatoyin Olufunke Adegboyega Nurse Practitioner 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 2020-06-09
1497376487 Jessica A Spring Nurse Practitioner 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 2020-04-30
1932728466 Lucy Wachuka Kamau Nurse Practitioner 4412 Clarence Ave, Saint Louis, MO 63115-3108 2020-04-14
1275169567 Lindsay Jones Nurse Practitioner 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 2020-03-18
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Competitor

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City SAINT LOUIS
Zip Code 63110

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Dataset Information

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.

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