Betty Ann Edwards

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F404686-01 Issued in NY

Practice address

300 Skillman Ave
Brooklyn, NY 11211-1607

Phone

(347) 377-5913

Fax

(718) 599-2840

NPI assigned

Jan 3, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• NYU Langone Hospitals

  • Internal Medicine Physician
  • New York, NY
  • NPI 1790975944

  Single Specialty

  Medicare reassignment NPD
• Samaritan Daytop Village, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bronx, NY
  • NPI 1629440888

  Single Specialty

  Medicare reassignment NPD
• NYU Langone Hospitals

  • Psychiatric Hospital Unit
  • Patchogue, NY
  • NPI 1508687021
  NPD
• Samaritan Daytop Village, Inc.

  • Substance Abuse Rehabilitation Facility
  • Richmond Hill, NY
  • NPI 1396822839
  NPD

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1073101499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BELMONT BAY DR UNIT 310",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915452",
            "telephone_number": "703-489-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SKILLMAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111607",
            "telephone_number": "347-377-5913",
            "fax_number": "718-599-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BETTY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404686-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Edwards, CCC SLP
• Amira Edwards
• Anson Osinachi Edwards, PT
• Asante Edwards
• Ayesha-Nerissa Edwards
• Brigid Ruth Edwards, LMSW
• Carmel L Edwards
• Casey Edwards
• Chantel Edwards
• Christopher Edwards, MD

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.