Jensen Ann Edwards

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

94-11715 Issued in KS

Practice address

3901 Rainbow Blvd # Ms 2050
Kansas City, KS 66160-3670

Phone

(913) 588-6028

NPI assigned

Mar 20, 2023

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1538861927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 RAINBOW BLVD # MS 2050",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032918",
            "telephone_number": "913-588-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 2050",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661603670",
            "telephone_number": "913-588-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JENSEN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "94-11715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenia Edmond, CRNA
• Cassie Edmundson, MA
• Christine Omorotionmwan Edomwande, MD, MS
• Angela Edstrom
• Allison Edwards, MD
• Michael Gerald Edwards III, DO
• Sandra Joann Edwards, MD
• Tanner Marie Edwards, LMSW
• Morris Egon
• Paige Marie Eickhoff, MD

• Dermatology Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.

Verify at the official NPI Registry.