Individual provider Active NPI

Carol Edwards

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1013576560
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R162472 Issued in MD
Practice address
1120 N Charles St Ste 109
Baltimore, MD 21201-5592
Phone
(443) 345-6009
Fax
(877) 720-3447
NPI assigned
Jun 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R162472 MD Primary
Family Nurse Practitioner 363LF0000X NP5000022902 DC

Addresses

Primary practice location

1120 N Charles St Ste 109
Baltimore, MD 21201-5592

Mailing address

1120 N Charles St Ste 109
Baltimore, MD 21201-5592
Phone (443) 345-6009

Other practice location 1

320 40th St NE
Washington, DC 20019-3372
Phone (401) 652-9787

Other practice location 2

3 Kings Dr
Taneytown, MD 21787-2331
Phone (443) 331-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108001216 MD Practitioner - Nurse Practitioner 0941632145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1120 N Charles St
Suite 109
Baltimore, MD 21201-5592
Phone (443) 345-6009

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R162472MDMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: carol.edwards.1@27711.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1013576560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015592",
            "telephone_number": "443-345-6009",
            "fax_number": "877-720-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015592",
            "telephone_number": "443-345-6009",
            "fax_number": "877-720-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 40th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200193372",
            "country_code": "US",
            "telephone_number": "401-652-9787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Taneytown",
            "state": "MD",
            "postal_code": "217872331",
            "country_code": "US",
            "telephone_number": "443-331-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CAROL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R162472",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP5000022902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.