Active NPI
Anna C. Edwards, CPNP-PC
- Pediatric Nurse Practitioner
- Denver, CO
National Provider Identifier
1205346087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0993576
- Practice address
- 1325 S Colorado Blvd
Denver, CO 80222-3303 - Phone
- (303) 369-1077
- Fax
- (303) 369-9785
- NPI assigned
- Oct 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0993576 | CO | Primary |
Addresses
Primary practice location
1325 S Colorado Blvd
Denver, CO 80222-3303
Mailing address
1325 S Colorado Blvd
Denver, CO 80222-3303
Phone (303) 369-1077
Other practice location 1
597 Point Brown Ave NW
Ocean Shores, WA 98569-9632
Phone (206) 764-0502
Other practice location 2
597 Point Brown Ave NW
Ocean Shores, WA 98569-9632
Phone (206) 764-0502
Other practice location 3
1550 S Potomac St Ste 230
Aurora, CO 80012-5455
Phone (303) 369-1077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0993576 | Medicaid | CO |
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 |
|---|---|---|---|
| 0993576 | CO | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1205346087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 S COLORADO BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802223303",
"telephone_number": "303-369-1077",
"fax_number": "303-369-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 S COLORADO BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802223303",
"telephone_number": "303-369-1077",
"fax_number": "303-369-9785"
}
],
"practiceLocations": [
{
"address_1": "597 Point Brown Ave NW",
"address_purpose": "LOCATION",
"city": "Ocean Shores",
"state": "WA",
"postal_code": "985699632",
"country_code": "US",
"telephone_number": "206-764-0502",
"fax_number": "206-764-0516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "597 Point Brown Ave NW",
"address_purpose": "LOCATION",
"city": "Ocean Shores",
"state": "WA",
"postal_code": "985699632",
"country_code": "US",
"telephone_number": "206-764-0502",
"fax_number": "206-764-0516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1550 S Potomac St Ste 230",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800125455",
"country_code": "US",
"telephone_number": "303-369-1077",
"fax_number": "303-369-9785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "ANNA",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "CPNP-PC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "0993576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0993576",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.