Active NPI
Sandra Edward, RN
- Registered Nurse
- New Brighton, MN
National Provider Identifier
1073360384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2482189
- Practice address
- 1405 Silver Lake Rd NW Ste 1
New Brighton, MN 55112-9314 - Phone
- (612) 707-2094
- NPI assigned
- May 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2482189 | MN | Primary |
Addresses
Primary practice location
1405 Silver Lake Rd NW Ste 1
New Brighton, MN 55112-9314
Mailing address
1405 Silver Lake Rd NW Ste 1
New Brighton, MN 55112-9314
Phone (612) 707-2094
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2482189 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace N' Care L.L.C | Registered Nurse | Current | Accepting new patients |
Locations
1405 Silver Lake Rd NW
Ste 1
New Brighton, MN 55112
Phone (612) 707-2094
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1073360384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 SILVER LAKE RD NW STE 1",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551129314",
"telephone_number": "612-707-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 SILVER LAKE RD NW STE 1",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551129314",
"telephone_number": "612-707-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARD",
"first_name": "SANDRA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2482189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.