Liel Jenny Erdedi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5021084 Issued in NC

Practice address

695 W Fleming Dr
Morganton, NC 28655-4450

Phone

(828) 580-3278

NPI assigned

Feb 13, 2024

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

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Healthcare Medical Group IncGroup PAC ID 9436159712, 222 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lerdedi1213802@direct.unc.nchie.net

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.

• Blue Ridge Healthcare Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Connelly Springs, NC
  • NPI 1467993931
  Medicare reassignment Care Compare group NPD
• Blue Ridge Healthcare Medical Group, Inc.

  • Internal Medicine Physician
  • Morganton, NC
  • NPI 1578424685
  NPD
• Blue Ridge Healthcare Medical Group, Inc.

  • Family Medicine Physician
  • Marion, NC
  • NPI 1801120654
  NPD

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1265297808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491",
            "telephone_number": "984-974-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 W FLEMING DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554450",
            "telephone_number": "828-580-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDEDI",
        "first_name": "LIEL",
        "middle_name": "JENNY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emergeortho, PA
• Keisha Allie Emerson, MA, LCAS, LCMHC, NCC
• Savannah Jean Englebach
• Dillon Wade Epley, M.A., MFTA
• Randy Epley, RPH
• Camey H Ervin, M.ED, LPC
• Joseph Espiritu
• Stephen Collis Estes Jr.
• Stephanie Ethridge, RN
• Eugene K Olsen DDS II PA

• Family Nurse Practitioner in Morganton, NC
• Providers in Morganton, 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 Nov 13, 2024; 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.