Alexandria Patrice Edwards, RN, MSN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382443 Issued in NY

Practice address

682 Union Ave
Westbury, NY 11590-3552

Phone

(516) 571-9500

Fax

(516) 571-9557

NPI assigned

Jul 18, 2013

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

Other names 1

• Alexandria Patrice Shirley Former name

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

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Elmont, NY
  • NPI 1336669670
  Medicare reassignment NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • North Baldwin, NY
  • NPI 1205704319
  NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Roosevelt, NY
  • NPI 1396059499
  NPD
• Elmont Community Health Center

  • Clinic/Center
  • Elmont, NY
  • NPI 1467478362
  NPD (past)
• NYU Lutheran Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1538111653
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1093157166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 BRADFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073515",
            "telephone_number": "718-288-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 UNION AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903552",
            "telephone_number": "516-571-9500",
            "fax_number": "516-571-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Nassau Rd",
            "address_purpose": "LOCATION",
            "city": "Roosevelt",
            "state": "NY",
            "postal_code": "115751343",
            "country_code": "US",
            "telephone_number": "516-571-8600",
            "fax_number": "516-546-4154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALEXANDRIA",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657910",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "SHIRLEY",
            "middle_name": "PATRICE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eda-Mae Minto-Brooks SLP PLLC
• Rebecca Edelman, OTR/L
• Sydney Taylor Edelstein, CF-SLP, TSSLD
• Destiny Azia Eden
• Edward M. Goldberg O.D.
• Glen F Ehrenman, D.D.S.
• Eleni Feldman LMHC LLC
• Laika Elmonus, LPN
• Chris Elsayad, M.D.
• Lucy Elvir Bulnes

• Pediatric Nurse Practitioner in Westbury, NY
• Providers in Westbury, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.