KELLY L EDWARDS (NPI# 1952747271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952747271 |
| Entity Type | Individual |
| Full Name | KELLY L EDWARDS |
| Credential | NP |
| Practice Address |
4054 State Route 52 Youngsville NY 12791-0595 |
| Mailing Address |
Po Box 595 Youngsville NY 12791-0595 |
| Practice Telephone | 8454824800 |
| Mailing Telephone | 8454824800 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F306511-1 | NY | 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 |
| 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 |
| 1225283450 | Kelly Gardner Edwards | Nurse Practitioner | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2008-12-02 |
| Street Address |
4054 STATE ROUTE 52 |
| City | YOUNGSVILLE |
| State | NY |
| Zip Code | 12791-0595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235455718 | Tracy Elizabeth Abplanalp | Speech-Language Pathologist | 123 Dewitt Flats Rd., Youngsville, NY 12791-0286 | 2010-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443932 | Nancy Odom | Pharmacist | 814 Fortune Rd, Youngsville, LA 70592-5542 | 2020-10-06 |
| 1417563370 | Southern Louisiana Behavior Consultants LLC | Community/Behavioral Health | 100 Harton Rd, Youngsville, LA 70592-6386 | 2020-09-16 |
| 1184235301 | Michael Shealy | Physical Therapist | 160 Highview Dr, Youngsville, NC 27596-7909 | 2020-08-11 |
| 1114537776 | Trey Branson Perrin | Student in an Organized Health Care Education/Training Program | 211 Cedar Lake Dr, Youngsville, LA 70592-6573 | 2020-08-07 |
| 1649889262 | Rebecca Lynn Sharp Mcmillen | Registered Nurse | Railroad St, Youngsville, PA 16371-0039 | 2020-07-29 |
| 1942828561 | Jessica Moody | Social Worker | 215 Amaya Ave, Youngsville, LA 70592-6713 | 2020-07-09 |
| 1932725975 | Byron Daigle | Specialist/Technologist | 1800 Chemin Metairie Pkwy, Youngsville, LA 70592-5586 | 2020-06-24 |
| 1922622596 | Calisha Mcrae | Registered Nurse | 404 Holden Forest Dr, Youngsville, NC 27596-7201 | 2020-05-29 |
| 1235768318 | Ashley Hartley Kidd | Speech-Language Pathologist | 613 Braxton Dr, Youngsville, LA 70592-5575 | 2020-04-02 |
| 1376171645 | Jonathan C Montague | Transportation Broker | 1828 Long Mill Rd, Youngsville, NC 27596-9178 | 2020-03-31 |
| Find all providers in YOUNGSVILLE | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSVILLE |
| Zip Code | 12791 |
Please comment or provide details below to improve the information on KELLY L EDWARDS.
| 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.