Sharita Lachelle Tedder-Edwards, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.025218 Issued in OH

Practice address

44 Blaine Ave
Bedford, OH 44146-2709

Phone

(440) 735-3900

NPI assigned

Aug 12, 2019

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)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sharita.tedder-edwards@49412312072196.direct.elationemr.com
• Direct secure messaging: stedderedwards209439@direct.metrohealth.org

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.

• Serenity Primary Care LLC

  • Family Nurse Practitioner
  • Beachwood, OH
  • NPI 1366154684
  NPD Authorized official
• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1356997811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23420 CANNON RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461630",
            "telephone_number": "216-526-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BLAINE AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462709",
            "telephone_number": "440-735-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER-EDWARDS",
        "first_name": "SHARITA",
        "middle_name": "LACHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise D Taylor-Moore
• Ebony D Taylor
• Kari Dawn Taylor, PC
• Nicole Joann Taylor, LPN
• Taylored Care LLC
• Gemma Telling
• Tender Hearts Residential Services LLC
• Tender Hearts Residential Services LLC
• Niranjana Shah Thaker, MD
• The Metrohealth System

• Family Nurse Practitioner in Bedford, OH
• Providers in Bedford, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.