Cristi De'Shae Edwards

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

1401108358 Issued in NC

Practice address

4574 Brimmer Place Dr
Kernersville, NC 27284-7797

Phone

(336) 413-9619

NPI assigned

Oct 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1326867003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 BRIMMER PLACE DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847797",
            "telephone_number": "336-413-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 BRIMMER PLACE DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847797",
            "telephone_number": "336-413-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CRISTI",
        "middle_name": "DE'SHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NC",
            "license": "1401108358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Nicholas Ebert, PHARMD
• Eckerd Corporation
• Eckerd Corporation
• Lisa Anthonette Edmond, LCSW
• Edward Wilson Arnette, D.M.D.,P.C.
• Tamika Sharon Edwards, MSW, LCSW
• Tiana Edwards, DPT
• Brandy Eggleston
• Elder Up LLC
• Danielle Nichole Eldred

• Critical Care Medicine Registered Nurse in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Critical Care Medicine Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.