Joseph Christopher Edwards, APRN STUDENT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3015684 Issued in KY

Practice address

710 S Green River Rd Ste 1
Evansville, IN 47715-4104

Phone

(812) 901-5780

Fax

(877) 358-9237

NPI assigned

Jun 8, 2020

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Male

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

Enrolled in KY, IN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newburgh Urgent Care LLC

  dba Mercy Urgent Care

  • Nurse Practitioner
  • Newburgh, IN
  • NPI 1093132821
  Medicare reassignment NPD
• Brock Medical, LLC

  dba First Care Clinics, LLC

  • Nurse Practitioner
  • London, KY
  • NPI 1023379815
  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Urgent Care

  • Family Nurse Practitioner
  • Franklin, KY
  • NPI 1457716706
  Medicare reassignment NPD
• Fast Pace Kentucky PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1669256913
  NPD
• Fast Pace Kentucky, PLLC

  dba Fast Pace Health

  • Rural Health Clinic/Center
  • Spindale, NC
  • NPI 1942027891
  NPD
• Fast Pace Kentucky, PLLC

  • Rural Health Clinic/Center
  • Bardstown, KY
  • NPI 1184381444
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1104441914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 BRIARCLIFF TRCE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037602",
            "telephone_number": "270-871-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S GREEN RIVER RD STE 1",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154104",
            "telephone_number": "812-901-5780",
            "fax_number": "877-358-9237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3681 Briarcliff Trce",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423037602",
            "country_code": "US",
            "telephone_number": "270-871-5505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8211 W State Route 66 Ste A",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476302534",
            "country_code": "US",
            "telephone_number": "812-490-0463",
            "fax_number": "877-513-8132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 N Green River Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477152942",
            "country_code": "US",
            "telephone_number": "812-901-5770",
            "fax_number": "877-358-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3245 Mount Moriah Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423037834",
            "country_code": "US",
            "telephone_number": "270-663-0955",
            "fax_number": "877-466-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOSEPH",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "APRN STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "1086308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Alyssa Edens
• Franklin J. Edge, DMD
• Patrick Joseph Edge
• Elizabeth Edmonson, NCSP, ED. S.
• Jessica Kate Edwards, CCP
• Randall Scott Edwards, DDS
• Rebecca B Edwards, LCSW
• Carlee Ann Effinger
• Erin A Egan, MD
• Walter H. Egenmaier, O.D.

• Family Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.