Kaylan Michelle Edwards, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018295 Issued in CA

Practice address

4150 Regents Park Row Ste 280
La Jolla, CA 92037-1417

Phone

(858) 280-3166

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1215684147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 GRAND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094603",
            "telephone_number": "702-338-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 280",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371417",
            "telephone_number": "858-280-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KAYLAN",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.malonemd.com",
            "affiliation": "N",
            "address_1": "4150 Regents Park Row Ste 280",
            "city": "LA Jolla",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920371417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amelia Star Eastman, D.O.
• Aren Ebrahimi, DO
• Blackberrie Eddins, MD
• Abigail Edilloran
• Edward Kocharian MD Apc
• Keith C. Edwards, M.D.
• Kourtney Louise Edwards, NP
• Edwin Iliff, M.D.,Inc.
• Egl Management Inc.
• Kara Ehrhardt

• Family Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.