Stefanie Edgar, BSN, RN, CWON

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

0001296945 Issued in VA

Practice address

3181 Shore Dr
Virginia Beach, VA 23451-1129

Phone

(757) 496-1653

NPI assigned

Oct 15, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1265252118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511129",
            "telephone_number": "703-863-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511129",
            "telephone_number": "757-496-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "STEFANIE",
        "credential": "BSN, RN, CWON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "VA",
            "license": "0001296945",
            "primary": true
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "VA",
            "license": "0001296945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOCNCB",
            "identifier": "2005469144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Eddins, OWNER
• Notae Arinola Eddo
• Elizabeth Eddy, PHARM. D.
• Eden Ways Transport, LLC
• Deborah Edenfield
• Madison Mai Edge
• Gregory J Edinger, MD
• Victoria Edlan
• Serenity Edmond
• Beatrix K Edmonds, MD

• Wound Care Registered Nurse in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Wound Care Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.