Individual provider Active NPI

Katie M Edwards, FNP-C

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1508602376
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
210055 Issued in LA
Practice address
414 Breemen Cir
Lafayette, LA 70508-5976
Phone
(337) 652-2510
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 210055 LA Primary

Addresses

Primary practice location

414 Breemen Cir
Lafayette, LA 70508-5976

Mailing address

414 Breemen Cir
Lafayette, LA 70508-5976
Phone (337) 652-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20241218001351 LA Practitioner - Nurse Practitioner 4587191317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Arthritis and Endocrine Clinic ApmcGroup PAC ID 1759301203, 12 clinicians

Practice addresses (Care Compare)

4212 W Congress St
Suite 2300a
Lafayette, LA 70506-6778
Phone 3372377801206

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Jennings, LA, CCN 197315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
210055LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Arthritis and Endocrine Clinic Apmc CurrentSince Sep 16, 2024 Accepting new patients

Locations

4212 W Congress St
Ste 2300A
Lafayette, LA 70506
Phone (337) 237-7801

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHACA

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1508602376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BREEMEN CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085976",
            "telephone_number": "337-652-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BREEMEN CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085976",
            "telephone_number": "337-652-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "210055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.