Active NPI
Linda F Edmondson, FNP
- Nurse Practitioner
- Rocky Mount, NC
National Provider Identifier
1144214875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201129
- Practice address
- 91 Enterprise Dr
Rocky Mount, NC 27804-9590 - Phone
- (252) 937-0235
- Fax
- (252) 937-3103
- NPI assigned
- Sep 8, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201129 | NC | Primary |
Addresses
Primary practice location
91 Enterprise Dr
Rocky Mount, NC 27804-9590
Mailing address
PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200
Other practice location 1
901 N Winstead Ave
Rocky Mount, NC 27804-8467
Phone (252) 937-0235
Other practice location 2
921 N Winstead Ave
Rocky Mount, NC 27804-8749
Phone (252) 937-0300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005803 | Medicaid | NC | |
| 185GY | Other | NC | BCBS OF NC |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201129 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1144214875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7200",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040200",
"telephone_number": "252-937-0200",
"fax_number": "252-451-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 ENTERPRISE DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278049590",
"telephone_number": "252-937-0235",
"fax_number": "252-937-3103"
}
],
"practiceLocations": [
{
"address_1": "901 N Winstead Ave",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "278048467",
"country_code": "US",
"telephone_number": "252-937-0235",
"fax_number": "252-937-3103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "921 N Winstead Ave",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "278048749",
"country_code": "US",
"telephone_number": "252-937-0300",
"fax_number": "252-937-3108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDMONDSON",
"first_name": "LINDA",
"middle_name": "F",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "201129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005803",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "185GY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
- Edgecombe Drug Inc
- Edgecombe-Nash Mental Health Clinic Beacon Center
- Jenny Edgell
- Beth A Edgerton, PA
- Sophia Battle Edmonds, MSW, LCAS, LCSWA
- Educare Community Living Corporation - North Carolina
- Educare Community Living Corporation North Carolina
- Educare Community Living Corporation North Carolina
- Edwards Enterprises Inc
- Carolyn Robards Eggers, M.A., C.A.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.