Individual provider Active NPI

Whitney Lynn Edwards

  • Family Nurse Practitioner
  • Nags Head, NC
National Provider Identifier
1295583425
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020016 Issued in NC
Practice address
425 W Health Center Dr
Nags Head, NC 27959-8944
Phone
(252) 261-3041
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5020016 NC Primary

Addresses

Primary practice location

425 W Health Center Dr
Nags Head, NC 27959-8944

Mailing address

844 Herbert Perry Rd
Kitty Hawk, NC 27949-4730
Phone (252) 564-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5020016NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Clinic of Dare CurrentSince May 19, 2024 Accepting new patients
Community Care Clinic of Dare CurrentSince May 19, 2024 Accepting new patients

Locations

425 W Health Center Dr
Nags Head, NC 27959
Phone (252) 261-3041

Interoperability endpoints

  • Direct secure messaging: whitney.edwards.1@14533.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14533/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1295583425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 HERBERT PERRY RD",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279494730",
            "telephone_number": "252-564-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W HEALTH CENTER DR",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598944",
            "telephone_number": "252-261-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WHITNEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.