Paul Edwards III, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145524 Issued in TX

Practice address

624 Altea Dr
Leander, TX 78641-4884

Phone

(210) 827-9954

NPI assigned

Sep 14, 2015

Last updated

May 21, 2023By the provider in NPPES

Sex

Male

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

Practice roles

Locations

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.

• Atlis Enterprises LLC

  dba Atlis Education and Training Institute

  • Health Service Clinic/Center
  • Leander, TX
  • NPI 1154799617
  NPD Authorized official

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1356719819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 ALTEA DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414884",
            "telephone_number": "210-827-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 ALTEA DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414884",
            "telephone_number": "210-827-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Stanley Durst, LPC
• Easy Acquisition Medical Transportation LLC
• Amy Porter Ecklund, MS, CCC-SLP
• Ashley Eddinger
• Collin Edwards
• Luis Egelsee, MD
• Sarah D Eis, LBA
• Karen Michelle Eissler
• Aaron Elam, LPC
• Elevate Wound Solutions, LLC

• Family Nurse Practitioner in Leander, TX
• Providers in Leander, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; 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.