Active NPI
Nyela Aldridge Edwards, CNM
- Advanced Practice Midwife
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APN25049
- Practice address
- 320 Bristol West Blvd Ste 2C
Bristol, TN 37620-8773 - Phone
- (423) 844-1399
- NPI assigned
- Nov 19, 2018
- Last updated
- Nov 19, 2018
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APN25049 | TN | Primary |
Addresses
Primary practice location
320 Bristol West Blvd Ste 2C
Bristol, TN 37620-8773
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN25049 | TN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holston Medical Group PC | Current | Accepting new patients |
Locations
320 Bristol West Blvd
Ste 2C
Bristol, TN 37620
Phone (423) 844-1399
350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925
631 Campus Dr
Abingdon, VA 24210
Phone (276) 676-3870
121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648
495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700
Interoperability endpoints
- nyelaedwards@hmgpath.allscriptsdirect.net
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, 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": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1487123592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BRISTOL WEST BLVD STE 2C",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376208773",
"telephone_number": "423-844-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "NYELA",
"middle_name": "ALDRIDGE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "APN25049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.