Individual provider Active NPI

Christin Joelle Edward, FNP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1306291083
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130215 Issued in TX
Practice address
3533 Town Center Blvd S Ste 100
Sugar Land, TX 77479-1456
Phone
(281) 491-2555
NPI assigned
Apr 29, 2016
Last updated
Apr 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 AP130215 TX Primary

Addresses

Primary practice location

3533 Town Center Blvd S Ste 100
Sugar Land, TX 77479-1456

Mailing address

3533 Town Center Blvd S Ste 100
Sugar Land, TX 77479-1456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201019001887 TX Practitioner - Nurse Practitioner 3072933753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP130215TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Land Med Ped Clinic, P.a. PastSince Jul 30, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBABA

Organizations & group practices 1

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1306291083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 TOWN CENTER BLVD S STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 TOWN CENTER BLVD S STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791456",
            "telephone_number": "281-491-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARD",
        "first_name": "CHRISTIN",
        "middle_name": "JOELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.