Individual provider Active NPI

Nancy Natalie Fong-Edwards

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1497125942
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9327531 Issued in FL
Practice address
800 Clematis St RM 5531
West Palm Beach, FL 33401-5107
Phone
(561) 671-4043
NPI assigned
Sep 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 APRN9327531 FL Primary

Addresses

Primary practice location

800 Clematis St RM 5531
West Palm Beach, FL 33401-5107

Mailing address

8645 N Military TRL Ste 508
West Palm Beach, FL 33410-6296
Phone (561) 630-8001

Other practice location 1

232 S Main St
Belle Glade, FL 33430-3426
Phone (561) 996-9573

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160203001528 FL Practitioner - Nurse Practitioner 3173827672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9327531FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Aug 22, 2022 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1625 SE 3rd Ave
Ste 400
Ft Lauderdale, FL 33316
Phone (954) 832-0055

1650 S Congress Ave
Ste A
Palm Springs, FL 33461
Phone (561) 439-3600

Interoperability endpoints

  • Direct secure messaging: nancy.fong-edwards.1@6516.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1497125942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 N MILITARY TRL STE 508",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106296",
            "telephone_number": "561-630-8001",
            "fax_number": "561-630-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CLEMATIS ST RM 5531",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015107",
            "telephone_number": "561-671-4043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 S Main St",
            "address_purpose": "LOCATION",
            "city": "Belle Glade",
            "state": "FL",
            "postal_code": "334303426",
            "country_code": "US",
            "telephone_number": "561-996-9573",
            "fax_number": "561-996-9620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG-EDWARDS",
        "first_name": "NANCY",
        "middle_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9327531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.