Individual provider Active NPI

Citadel Garcia Edwards, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1376099549
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010518 Issued in KY
Practice address
208 Legends LN Ste 160
Lexington, KY 40505-3287
Phone
(859) 201-9870
Fax
(859) 780-7014
NPI assigned
Aug 29, 2016
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 3010518 KY Primary

Addresses

Primary practice location

208 Legends LN Ste 160
Lexington, KY 40505-3287

Mailing address

PO Box 740017
Atlanta, GA 30374-0017
Phone (833) 804-1695

Other practice location 1

965 Chas Dr
Lexington, KY 40515-1415
Phone (859) 388-4273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Foot and Ankle Center PSC Current Accepting new patients
Oak Street Health Physicians Group of Kentucky, PLLC Family PastSince Oct 14, 2022 Accepting new patients
Nova Physician Group PLLC PastSince May 12, 2024 Accepting new patients

Locations

103 Diagnostic Dr
Frankfort, KY 40601
Phone (859) 977-1023

103 Diagnostic Dr
Ste A
Frankfort, KY 40601
Phone (502) 352-2468

103 Diagnostic Dr
Ste B
Frankfort, KY 40601
Phone (502) 223-8812

1401 Harrodsburg Rd
Ste C115
Lexington, KY 40504
Phone (859) 977-1023

3292 Eagle View Ln
Ste 210
Lexington, KY 40509
Phone (859) 977-8855

Organizations & group practices 3

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1376099549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740017",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740017",
            "telephone_number": "833-804-1695",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LEGENDS LN STE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405053287",
            "telephone_number": "859-201-9870",
            "fax_number": "859-780-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Chas Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405151415",
            "country_code": "US",
            "telephone_number": "859-388-4273",
            "fax_number": "800-581-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CITADEL",
        "middle_name": "GARCIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.