Individual provider Active NPI

Mary Kathryn Edwards, FNP-C

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1174096853
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202098 Issued in LA
Practice address
2600 Tower Dr Ste 106
Monroe, LA 71201
Phone
(318) 966-6400
NPI assigned
Jan 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 202098 LA
Family Nurse Practitioner 363LF0000X 202098 LA Primary

Addresses

Primary practice location

2600 Tower Dr Ste 106
Monroe, LA 71201

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0194

Other practice location 1

1401 N 18th St Ste A
Monroe, LA 71201-4972
Phone (318) 600-4364

Other practice location 2

1401 N 18th St Ste A
Monroe, LA 71201-4972
Phone (318) 600-4364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20190418000324 LA Practitioner - Nurse Practitioner 1557602604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

2600 Tower Dr
Suite 309
Monroe, LA 71201-5783
Phone (318) 966-6575

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC CurrentSince Mar 25, 2019 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Geaux Family Health, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

202 Highway 80 E
Calhoun, LA 71225
Phone (318) 966-8390

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

516 Lincoln Rd
Monroe, LA 71203
Phone (318) 343-6487

2600 Tower Dr
Ste 309
Monroe, LA 71201
Phone (318) 966-6200

312 Grammont St
Ste 404
Monroe, LA 71201
Phone (318) 323-1809

2600 Tower Dr
Ste 106
Monroe, LA 71201
Phone (318) 966-6400

3510 Magnolia Cv
Ste 120
Monroe, LA 71203
Phone (318) 329-1180

1200 Celebrity Dr
Ste 4
Ruston, LA 71270
Phone (318) 966-8370

1200 Celebrity Dr
Ste 1
Ruston, LA 71270
Phone (318) 225-8271

8950 Highway 165 N
Ste 2
Sterlington, LA 71280
Phone (318) 855-2222

200 Professional Dr
West Monroe, LA 71291
Phone (318) 325-3812

3106 Cypress St
West Monroe, LA 71291
Phone (318) 322-0458

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1174096853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TOWER DR STE 106",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-966-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N 18th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712014972",
            "country_code": "US",
            "telephone_number": "318-600-4364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 N 18th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712014972",
            "country_code": "US",
            "telephone_number": "318-600-4364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARY KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-06",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "202098",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "202098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.