Individual provider Active NPI

Koneechia Charmaine Edwards, NP

  • Nurse Practitioner
  • Hanford, CA
National Provider Identifier
1275909525
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95002883 Issued in CA
Practice address
340 W 8TH St
Hanford, CA 93230-4534
Phone
(559) 583-4024
Fax
(888) 355-9551
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 789677 CA
Nurse Practitioner 363L00000X NP95002883 CA Primary

Addresses

Primary practice location

340 W 8TH St
Hanford, CA 93230-4534

Mailing address

340 W 8TH St
Hanford, CA 93230-4534
Phone (559) 583-4024

Other names 1

  • Koneechia Charmaine Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20151105001668 CA Practitioner - Nurse Practitioner 6103136049 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

340 W 8TH St
Hanford, CA 93230-4534
Phone (559) 582-1041

Hospital & facility affiliations

  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192
  • Adventist Health Delano Hospital, Delano, CA, CCN 050608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
789677CAMDRegistered Nurse
NP95002883CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shyam Bhaskar, M.D. Inc CurrentSince May 1, 2023 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Shyam Bhaskar MD Inc Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 1, 2016 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 1, 2016 Accepting new patients
Long Term Care Medical Group, Inc CurrentSince Apr 1, 2021 Accepting new patients
Shyam Bhaskar, M.D. Inc CurrentSince May 1, 2023 Accepting new patients

Locations

1001 Van Dorsten Ave
Corcoran, CA 93212
Phone (559) 992-2337

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

1107 N Douty St
Hanford, CA 93230
Phone (559) 582-0347

1007 W Lacey Blvd
Hanford, CA 93230
Phone (559) 582-2871

1105 N Douty St
Ste B
Hanford, CA 93230
Phone (559) 582-0347

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

231 W Noble Ave
Visalia, CA 93277
Phone (559) 635-7100

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1275909525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 8TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304534",
            "telephone_number": "559-583-4024",
            "fax_number": "888-355-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W 8TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304534",
            "telephone_number": "559-583-4024",
            "fax_number": "888-355-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KONEECHIA",
        "middle_name": "CHARMAINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "789677",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95002883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KONEECHIA",
            "last_name": "BROWN",
            "middle_name": "CHARMAINE",
            "credential": "FNP-C, AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.