Edward Wellness Co LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EDWARD WELLNESS CO LLC

Practice address

824 Kingsbury Rd
Lexington, KY 40509-4406

Phone

(812) 801-1352

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Nicholas Brady Stark

Title

Owner

Phone

(812) 801-1352

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1225820939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 KINGSBURY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094406",
            "telephone_number": "812-801-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 KINGSBURY RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094406",
            "telephone_number": "812-801-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD WELLNESS CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-801-1352"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel D Edmonds, BA
• Robert Edmunds, M.D.
• Katisha Ednacot, PA-C
• Kelly Edney
• Hawa J Edriss, MD
• Anne Louise Edwards, PSY.D.
• Citadel Garcia Edwards, APRN
• Erin E Edwards
• Jeffrey L. Edwards, DMD
• John M. Edwards III, CRNA

• Multi-Specialty Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.