WILLIAM LANE EDWARDS JR.


Address: 4161 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-9204
Phone: 9417640800

WILLIAM LANE EDWARDS JR. (NPI# 1861480790) 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) 1861480790
Entity Type Individual
Full Name WILLIAM LANE EDWARDS JR.
Credential ARNP
Practice Address 4161 Tamiami Trl
Suite 201
Port Charlotte
FL 33952-9204
Practice Telephone 9417640800
Practice Fax Number 9417646494
Mailing Telephone 9417640800
Mailing Fax Number 9417646494
Enumeration Date 2005-10-13
Last Update Date 2016-05-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN768592 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 302767800 05
FL FL BC Y48882 01

Other Providers WILLIAM EDWARDS

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1699015933 William G Edwards Registered Nurse 228 Cambon Ave, Saint James, NY 11780-3048 2013-02-24
1700169570 William Alexander Edwards Student in an Organized Health Care Education/Training Program 1440 Golden Gate Ave, Apt 304, San Francisco, CA 94115-4660 2011-09-27
1124309927 William Vendel Edwards Pharmacist 3233 Martin Luther King Jr Blvd, Anderson, SC 29625-1714 2011-09-07
1194969261 William H Edwards Behavioral Analyst 6301 Campus Circle Dr E, Suite 100a, Irving, TX 75063-2712 2009-04-20
1356513758 William Bert Edwards Nurse Anesthetist, Certified Registered 553 S Egan Ave, Burns, OR 97720-2252 2008-03-26
1083885321 William Masters Edwards II Social Worker 120 W Pennsylvania Ave, 43, Southern Pines, NC 28387-5429 2008-03-14
1346314762 William Bryan Edwards Counselor 104 1st St Nw, Dodge Center, MN 55927-9195 2006-11-17
1629161856 William Edwards Pediatrics 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 2006-10-02

Office Location

Street Address 4161 TAMIAMI TRL
SUITE 201
City PORT CHARLOTTE
State FL
Zip Code 33952-9204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194332478 Ashley M Pospisil Dietitian, Registered 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 2020-09-30
1376098418 Brittany Diltz Clinic/Center 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 2016-08-18
1386041887 Golden Touch Physical Therapy, Inc Clinic/Center 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 2014-11-26
1396164257 Tracy M Mullins Physical Therapy Assistant 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 2014-04-08
1689000325 John Thomas Connelly Occupational Therapist 4161 Tamiami Trl, Ste 103, Port Charlotte, FL 33952-9204 2013-09-25
1558701060 Andrea B. Dombrowski Social Worker 4161 Tamiami Trl, Suite 401, Port Charlotte, FL 33952-9204 2013-06-28
1770929978 Jovanni H Villadarez Physical Therapist 4161 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-9204 2013-05-14
1851736995 Mark Niles Perkins Physical Therapy Assistant 4161 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-9204 2013-05-02
1609127380 Megan C Francis Physical Therapist 4161 Tamiami Trl, Ste 103, Port Charlotte, FL 33952-9204 2012-09-21
1881944510 Madeline Mckeegan Contractor 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 2012-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700486552 Arrow Medical LLC Durable Medical Equipment & Medical Supplies 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 2020-10-30
1376009621 David Alan Mowry Massage Therapist 3148 Whiting Lane, Port Charlotte, FL 33952 2019-02-12
1124527189 Aegis Group Practice, LLC Physical Therapist 2500 Aaron Street, Port Charlotte, FL 33952 2018-02-06
1255856118 All Powered Mobility, LLC Durable Medical Equipment & Medical Supplies 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 2017-08-11
1366994915 Julianne Kumar Physical Medicine & Rehabilitation 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 2016-10-31
1659729549 The Gathering Place LLC Licensed Practical Nurse 3459 Depew Ave, Port Charlotte, FL 33952 2016-06-01
1003222183 Philip Lagamma Physical Therapist 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 2014-07-09
1184039695 Nathan E Shipley Driver 2338 Alton Rd., Port Charlotte, FL 33952 2014-06-23
1619318219 Nic 4 Royal Palm Leasing LLC Assisted Living Facility 2500 Aaron St., Port Charlotte, FL 33952 2013-07-11
1225306475 Tamjo Inc Hearing Instrument Specialist 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 2011-12-02
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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
1366041873 Rychelle Nichole Magriby Nurse Practitioner 21229 Olean Blvd Ste D, Port Charlotte, FL 33952-6719 2020-10-26
1457906794 Alana Hope Adler Nurse Practitioner 3400 Tamiami Trl Ste 201, Port Charlotte, FL 33952-8102 2019-08-05
1568935724 Fides Bernasor Delart Nurse Practitioner 24420 Lakeview Pl, Port Charlotte, FL 33980-5235 2019-01-09
1679067425 Dominica Ngozi Orisakwe Nurse Practitioner 3390 Tamiami Trl Ste 204, Port Charlotte, FL 33952-8162 2018-06-15
1083856256 Linda Lurena Evans Nurse Practitioner 14170 Ingraham Blvd, Port Charlotte, FL 33981-3015 2009-04-02
1093967739 Donna Olson Nurse Practitioner 1100 Loveland Boulevard, Port Charlotte, FL 33980 2008-10-14
1952337834 Michael C Sempsrott Nurse Practitioner 4300 Kings Hwy Ste 210, Port Charlotte, FL 33980-2922 2006-06-23
1255977369 Amanda L Tollison Nurse Practitioner 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 2019-11-24
1336703974 Meghan Nicole Jackson Nurse Practitioner 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 2019-04-29
1124583158 Jennifer Lynn Azelton Nurse Practitioner 23013 Westchester Blvd, Port Charlotte, FL 33980-8448 2019-02-04
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Competitor

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City PORT CHARLOTTE
Zip Code 33952

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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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