Individual provider Active NPI

Edwin Paul Staat, APRN

  • Nurse Practitioner
  • Covington, KY
National Provider Identifier
1275558934
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3003831 Issued in KY
Practice address
200 Home Rd
Covington, KY 41011-1942
Phone
(859) 261-8768
Fax
(859) 291-2431
NPI assigned
Jul 13, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3003831 KY Primary

Addresses

Primary practice location

200 Home Rd
Covington, KY 41011-1942

Mailing address

200 Home Rd
Covington, KY 41011-1942
Phone (859) 261-8768

Other practice location 1

103 Barnes Rd Ste 1
Williamstown, KY 41097-9468
Phone (859) 261-8768

Other practice location 2

525 W 5th St Ste 219
Covington, KY 41011-1293
Phone (859) 291-2431

Other practice location 3

4836 Idlewild Rd
Burlington, KY 41005-8742
Phone (859) 261-8768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Home of Northern Kentucky PastSince Jan 12, 2024 Accepting new patients
Children's Home of Northern Kentucky Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1275558934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Barnes Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "KY",
            "postal_code": "410979468",
            "country_code": "US",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W 5th St Ste 219",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410111293",
            "country_code": "US",
            "telephone_number": "859-291-2431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4836 Idlewild Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "KY",
            "postal_code": "410058742",
            "country_code": "US",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAAT",
        "first_name": "EDWIN",
        "middle_name": "PAUL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.