Lori Dawn Edenfield, ARNP BC
Individual provider Active NPI Family Nurse Practitioner · Chipley, FL
NPI 1003907957 · NPPES record last updated Jul 8, 2007
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 20, 2022.
Key facts
- NPI
- 1003907957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP3139042 (FL)
- Practice address
- 1410 Brickyard Rd
Samuel E Ward MD PL
Chipley, FL 32428 - Phone
- (850) 638-3400
- Fax
- (850) 638-9611
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James B Craven MD PA RHC | Past | Accepting new patients | |
| Samuel E Ward MD PL | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3139042 | FL | Yes |
Addresses
Primary practice location
1410 Brickyard Rd
Samuel E Ward MD PL
Chipley, FL 32428
Mailing address
1410 Brickyard Rd
Chipley, FL 32428
Phone (850) 638-3400
Other providers in Chipley, FL
- Dermatology Associates
- Dermatology Associates, PA
- Zachary William Dickson
- Dream Medical LLC
- Frances Duffek
- Rhyne Elliott
- Kimberly Jean Ellis-Koceja
- Eye Center of North Florida, P.a.
- Family Care Associates of NW Florida
- Matthew R Fischer
All providers in Chipley, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.