Bethany Roxanna Edwards, MSN, BC, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5006091 Issued in NC

Practice address

7055 Glen Oaks Dr
Baton Rouge, LA 70812-1832

Phone

(225) 355-7284

Fax

(225) 356-1616

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Beth R. Edwards Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Red Stick Emergency Group LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1275705998

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1235279795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 GLEN OAKS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708121832",
            "telephone_number": "225-355-7284",
            "fax_number": "225-356-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BETHANY",
        "middle_name": "ROXANNA",
        "name_prefix": "Ms.",
        "credential": "MSN, BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1682349",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "EDWARDS",
            "middle_name": "R.",
            "prefix": "MS.",
            "credential": "MSN, BC, FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Educational Diagnostic Services & Consulting of la., LLC
• Edwards Premier Dental Care and Implant Center
• Edwards Premier Dental Care, LLC
• Edwards Transportation ,LLC
• Allie Lee Edwards, DDS
• Courtney C Edwards, PHARMD
• Crystal Edwards, FNP
• Crystal Danillie Edwards
• Daniel Edwards
• Desiree Edwards

• Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.