Individual provider Active NPI

Lauren Randalle Edwards, M.D.

  • Pediatrics Physician
  • Little Rock, AR
National Provider Identifier
1053607028
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-8718 Issued in AR
Practice address
1 Childrens Way
Slot 512-12
Little Rock, AR 72202-3500
Phone
(501) 364-1846
NPI assigned
Jun 28, 2011
Last updated
Jun 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4811 GA
Pediatrics Physician 208000000X E-8718 AR Primary

Addresses

Primary practice location

1 Childrens Way
Slot 512-12
Little Rock, AR 72202-3500

Mailing address

1 Childrens Way
Slot 512-12
Little Rock, AR 72202-3500
Phone (501) 364-1846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170802003076 AR Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 9335388784 Reassigns benefits to 2 organizations
I20210818003202 NE Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 9335388784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4811GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2017 Accepting new patients
University of Arkansas for Medical Sciences Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Unmc Physicians CurrentSince Aug 1, 2021 Accepting new patients
Arkansas Children's Hospital CurrentSince Jul 1, 2017 Accepting new patients
Arkansas Childrens Hospital Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients
Children's Hospital & Medical Center Past Accepting new patients

Locations

1 Childrens Way
Little Rock, AR 72202
Phone (501) 441-3453

1 Childrens Way
#51212
Little Rock, AR 72202
Phone (501) 364-1846

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Interoperability endpoints

  • Direct secure messaging: ledwards351880@direct.nebraskamed.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1053607028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "address_2": "SLOT 512-12",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "address_2": "SLOT 512-12",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LAUREN",
        "middle_name": "RANDALLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "4811",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-8718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.