Nicole May Edwards, LNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

075.0081403 Issued in VT

Practice address

257 S Main St
Rutland, VT 05701-4905

Phone

(802) 342-1062

Fax

(802) 419-9351

NPI assigned

Nov 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life Intervention Team

  • In Home Supportive Care Agency
  • Rutland, VT
  • NPI 1891495263
  NPD Authorized official

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1063129583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 VT ROUTE 140 E",
            "city": "EAST WALLINGFORD",
            "state": "VT",
            "postal_code": "057429542",
            "telephone_number": "802-342-1062",
            "fax_number": "802-419-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014905",
            "telephone_number": "802-342-1062",
            "fax_number": "802-419-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NICOLE",
        "middle_name": "MAY",
        "credential": "LNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VT",
            "license": "075.0081403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassia Ann Dutton, APRN
• Earl a. Olson, DMD, PLC
• Julia Ann Eaton, RPH
• Jacqueline M Eddy, LICSW
• Eden Park Management, Inc.
• Charles Cornelius Egbert, MD
• Allan Daniel Eisemann, MD
• Elizabeth H. Foley, M. D., PC
• Nancy Jean Ellery, LICSW
• Gregory H. Ellis, DMD

• All providers in Rutland, VT
• Nurse's Aide in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.