Active NPI
Anna Marie Edwards, L.P.N.
- Licensed Practical Nurse
- Syracuse, NY
National Provider Identifier
1457592537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 286346
- Practice address
- 428 W Onondaga St
Syracuse, NY 13202-3210 - Phone
- (315) 435-3295
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 286346 | NY | Primary |
Addresses
Primary practice location
428 W Onondaga St
Syracuse, NY 13202-3210
Mailing address
5795 Widewaters Pkwy
De Witt, NY 13214-1832
Phone (315) 449-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Model Neighborhood Facility, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Syracuse, NY
- NPI 1871710038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1457592537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5795 WIDEWATERS PKWY",
"city": "DE WITT",
"state": "NY",
"postal_code": "132141832",
"telephone_number": "315-449-1188",
"fax_number": "315-449-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 W ONONDAGA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023210",
"telephone_number": "315-435-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ANNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "286346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.