Kayla Nicole Edwards, CHW

Individual provider Active NPI Community Health Worker · Melissa, TX

NPI 1104752005 · NPPES record last updated Jun 19, 2026

Key facts

NPI
1104752005
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
16112 (TX)
Practice address
2321 Arrowhead Pass
Melissa, TX 75454-2145
Phone
(405) 679-1244
NPI assigned
Jun 19, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 16112 TX Yes

Addresses

Primary practice location

2321 Arrowhead Pass
Melissa, TX 75454-2145

Mailing address

2321 Arrowhead Pass
Melissa, TX 75454-2145
Phone (405) 679-1244

Other providers in Melissa, TX

All providers in Melissa, TX · Community Health Worker in Texas

Sources for this page

Verify at the official NPI Registry.