Individual provider Active NPI

Felicia S Edwards, APRN

  • Family Nurse Practitioner
  • Akron, OH
National Provider Identifier
1538405980
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033481 Issued in OH
Practice address
960 Peerless Ave
Akron, OH 44320-2841
Phone
(330) 620-0460
NPI assigned
Dec 12, 2012
Reactivated
Oct 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.401553 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0033481 OH Primary

Addresses

Primary practice location

960 Peerless Ave
Akron, OH 44320-2841

Mailing address

960 Peerless Ave
Akron, OH 44320-2841
Phone (330) 620-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240726002105 OH Practitioner - Nurse Practitioner 6608312533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.401553OHMDRegistered Nurse
APRN.CNP.0033481OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Nov 29, 2024 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

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": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1538405980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 PEERLESS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202841",
            "telephone_number": "330-620-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 PEERLESS AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202841",
            "telephone_number": "330-620-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "FELICIA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "deactivation_date": "2015-05-27",
        "reactivation_date": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.401553",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.