Active NPI
Daphne C Edwards, RN, CPNP
- Nurse Practitioner
- Colonial Heights, VA
National Provider Identifier
1053569376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024164386
- Practice address
- 2493 Boulevard
Colonial Heights, VA 23834-2317 - Phone
- (804) 504-5490
- Fax
- (833) 989-0990
- NPI assigned
- Aug 28, 2008
- Reactivated
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 001119792 | VA | |
| Pediatric Nurse Practitioner | 363LP0200X | 0024164386 | VA | |
| Nurse Practitioner | 363L00000X | 0024164386 | VA | Primary |
Addresses
Primary practice location
2493 Boulevard
Colonial Heights, VA 23834-2317
Mailing address
10221 Krause Rd Unit 1262
Chesterfield, VA 23832-1250
Phone (804) 803-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001119792 | VA | MD | Registered Nurse |
| 0024164386 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peds First Healthcare LLC | Pediatrics | Current | Accepting new patients |
| Virginia Pediatrics PC | Past | Accepting new patients |
Locations
11300 Iron Bridge Rd
Ste D
Chester, VA 23831
Phone (215) 218-8900
10221 Krause Rd
Unit 1262
Chesterfield, VA 23832
2493 Boulevard
Colonial Heights, VA 23834
Phone (804) 504-5490
Interoperability endpoints
- https://api.platform.athenahealth.com/22526/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/6906/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Colonial Heights, VA
- NPI 1407455660
Pediatrics
-
- Pediatrics Physician
- Colonial Heighs, VA
- NPI 1649446535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1053569376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10221 KRAUSE RD UNIT 1262",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238321250",
"telephone_number": "804-803-3334",
"fax_number": "804-803-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2493 BOULEVARD",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238342317",
"telephone_number": "804-504-5490",
"fax_number": "833-989-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "DAPHNE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "RN, CPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"deactivation_date": "2023-03-17",
"reactivation_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "001119792",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024164386",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024164386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.