Jeffrey Edwards, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3054522 Issued in FL

Practice address

6075 Bathey LN
Naples, FL 34116-7536

Phone

(239) 455-8500

Fax

(239) 455-6561

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• David Lawrence Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • Naples, FL
  • NPI 1801891940
  Medicare reassignment NPD

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1376530360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 BATHEY LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167536",
            "telephone_number": "239-455-8500",
            "fax_number": "239-455-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 BATHEY LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167536",
            "telephone_number": "239-455-8500",
            "fax_number": "239-455-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JEFFREY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "3054522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761749600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmund C Weidner MD PA
• Theresa Edmunds, CHC
• Guerline Edouard Antoine, PMHNP
• Veronique Edward, OD
• Cary Lynn Edwards, FNP-LPA
• Shawn Joseph Edwards, D.C.
• Lawrence James Egger, PA9108319
• Henrietta Egwakhide
• Kathryn Hawes Ehlers, M.D.
• Lauren Sullivan Ehlers

• Psychiatric/Mental Health Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.