Kelly Gardner Edwards, RN, MSN, FNP/WHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201837 Issued in NC

Practice address

8210 Renaissance Pkwy
Durham, NC 27713-6688

Phone

(919) 425-0001

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9247/brand/1/csg/1/fhir/r4
• Direct secure messaging: kedwards556330@direct.medicine.duke.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment Care Compare group NPD
• Duke Health Integrated Practice, Inc

  dba Duke Gastroenterology of Raleigh

  • Gastroenterology Physician
  • Raleigh, NC
  • NPI 1780374884
  NPD
• Carolina Breast Care Specialists, PA

  • Surgery Physician
  • Raleigh, NC
  • NPI 1750337119
  NPD (past)

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1225283450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 RENAISSANCE PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136688",
            "telephone_number": "919-425-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 RENAISSANCE PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136688",
            "telephone_number": "919-425-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KELLY",
        "middle_name": "GARDNER",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP/WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201837",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "201837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Leigh Andersen Edwards, LCSW
• Jamal Rashawn Edwards, PT, DPT, ATC, CSCS
• Jennifer Smith Edwards, LPC
• Joi Lashawn Edwards, DPT
• Jonathan Edwards, LAC
• Kyle Edwards, DPT
• Laurie Elizabeth Edwards, MS, CF-SLP
• Lindsay Atherton Edwards, MD
• Margaret Edwards
• Meghan Nicole Edwards, RD, LDN

• Family Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.