Active NPI
Kathryn Leona Edwards, FNP
- Family Nurse Practitioner
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5010106
- Practice address
- 2355 W Arlington Blvd
Greenville, NC 27834-2847 - Phone
- (252) 744-2545
- Fax
- (252) 744-1817
- NPI assigned
- Dec 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5010106 | NC | Primary |
Addresses
Primary practice location
2355 W Arlington Blvd
Greenville, NC 27834-2847
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326554163 | Medicaid | NC | |
| 19YYP | Other | BCBS OF NC | |
| NN11050322 | Other | NC | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kedwards283322@direct.ecuhealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2355 W Arlington Blvd
Greenville, NC 27834-2847
Phone (252) 744-2545
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010106 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Nephrology Associates PLLC | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| East Carolina University | Past | Accepting new patients |
Locations
3793 Lee St
Ayden, NC 28513
Phone (252) 746-9622
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
2355 W Arlington Blvd
Greenville, NC 27834
Phone (252) 744-2545
511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Greenville, NC
- NPI 1972551919
-
- Nephrology Physician
- Greenville, NC
- NPI 1417083783
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1043260474
-
- Obstetrics & Gynecology Physician
- Greenville, NC
- NPI 1528016938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1326554163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342847",
"telephone_number": "252-744-2545",
"fax_number": "252-744-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KATHRYN",
"middle_name": "LEONA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-15",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5010106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326554163",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19YYP",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NN11050322",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kedwards283322@direct.ecuhealth.com",
"affiliation": "N",
"endpointDescription": "ECU Physicians",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2355 W Arlington Blvd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342847",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.