KENT EDWARDS


Address: 11488 Sugar Creek Rd, Benton, IL 62812-4315
Phone: 6189271610

KENT EDWARDS (NPI# 1750893889) 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) 1750893889
Entity Type Individual
Full Name KENT EDWARDS
Credential FNP-C
Practice Address 11488 Sugar Creek Rd
Benton
IL 62812-4315
Practice Telephone 6189271610
Mailing Telephone 6189271610
Enumeration Date 2017-10-30
Last Update Date 2017-10-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209016765 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers KENT EDWARDS

NPI Name Taxonomy Address Enumeration
1548266919 Kent Austin Edwards Physical Therapist 2679 N Forest Ridge Blvd, Hernando, FL 34442-5123 2005-06-22
1730530502 Kent Edwards Jr. Urology 169 Ashley Ave, Room 202 Main Hospital, Charleston, SC 29425-8905 2016-06-23

Office Location

Street Address 11488 SUGAR CREEK RD
City BENTON
State IL
Zip Code 62812-4315

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417472739 City of Benton Ambulance 107 N. Maple St., Benton, IL 62812 2017-08-08
1982955712 National Healthcare of Mt Vernon Inc Clinic/Center 905 W Washington St Ste A, Benton, IL 62812 2012-09-19
1255647129 Centerstone of Illinois, Inc Counselor 409 South George Street, Benton, IL 62812 2010-08-30
1215184635 Darla Joe Allan Emergency Medicine 501 Du Quoin St, Benton, IL 62812 2008-08-27
1770752362 Rlh Anesthesia Service PC Nurse Anesthetist, Certified Registered 86 Skiers Run, Benton, IL 62812 2008-02-27
1508070764 Kevin B Delatour Dentist 808 North Main, Benton, IL 62812 2007-05-09
1801014782 Maureen Tinsley Occupational Therapist 9 Rend Lake Plaza, Benton, IL 62812 2007-04-23
1154485316 Carmen J House Chiropractor 106 West Washington Street, Benton, IL 62812 2006-12-21
1548240211 Christopher Greater Area Rural Health Planning Corp Family Medicine Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 2006-01-19
1477531192 David Frank Szoke Emergency Medicine 905 West Washington, Benton, IL 62812 2006-01-03
Find all providers in zip 62812

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619574555 Brian Scott Burks Nurse Practitioner 4109 Hartford Hills Dr, Benton, AR 72019-2540 2020-10-05
1205315900 David Lamont Mccombs Nurse Practitioner 1696 Steel Bridge Rd, Benton, AR 72019-3875 2018-08-13
1427385376 Amber Nicole Thorne Nurse Practitioner 6468 State Highway 77, Benton, MO 63736-8237 2009-11-13
1467653014 Renee D Wilson Nurse Practitioner 825 Graham Rd, Benton, AR 72015-8975 2007-05-30
1457450827 Lori D Mcbride Nurse Practitioner 1000 Highway 35 N Ste 8, Benton, AR 72019-2353 2006-09-22
1073547717 Debbie Lynn Holman Nurse Practitioner 1403 N Main St, Benton, IL 62812-1918 2006-07-10
1568091270 Toni Shantel Gordon-bailey Nurse Practitioner 615 Old Symsonia Rd, Benton, KY 42025-5042 2020-04-04
1912549965 Brooke Hudson Nurse Practitioner 201 Bailey Ln, Benton, IL 62812-1999 2019-10-10
1497288492 Diana Tomlianovich Nurse Practitioner 203 Bailey Ln, Suite 1, Benton, IL 62812-2266 2017-04-06
1528412095 Ann Smith Depoe Nurse Practitioner 4469 Red Rock Rd, Benton, PA 17814-7606 2016-04-20
Find all providers in BENTON

Competitor

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City BENTON
Zip Code 62812

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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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