Individual provider Active NPI

Nakia Antoinette Edwards

  • Primary Care Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1548725310
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NP95011384 Issued in CA
Practice address
1541 Florida Ave Ste 100
Modesto, CA 95350-4438
Phone
(209) 577-3388
Fax
(209) 338-0024
NPI assigned
Feb 6, 2019
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101.0137900 VT
Primary Care Nurse Practitioner 363LP2300X 1-141525 AL
Primary Care Nurse Practitioner 363LP2300X NP95011384 CA Primary

Addresses

Primary practice location

1541 Florida Ave Ste 100
Modesto, CA 95350-4438

Mailing address

3055 Floyd Ave
Apt 245
Modesto, CA 95355-7932
Phone (334) 421-7476

Other practice location 1

3405 Whistler Ave
Modesto, CA 95355-9738
Phone (334) 421-7476

Other practice location 2

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other practice location 3

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-3572

Other names 1

  • Nakia Antoinette Powell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190613000972 CA Practitioner - Nurse Practitioner 4082947643 Reassigns benefits to 3 organizations
Practice locations: Modesto, CA
I20250123000351 MI Practitioner - Nurse Practitioner 4082947643 Reassigns benefits to 1 organization
I20250509001468 VT Practitioner - Nurse Practitioner 4082947643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-141525ALMDPrimary Care Nurse Practitioner
NP95011384CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Apr 1, 2023 Accepting new patients
Sutter Valley Medical Foundation Nurse Practitioner CurrentSince Dec 11, 2025 Accepting new patients
University of Vermont Medical Center Inc CurrentSince May 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 11, 2025 Accepting new patients
Dickinson County Healthcare System CurrentSince Mar 1, 2025 Accepting new patients
Otashe Golden, MD, Inc. CurrentSince Jun 1, 2021 Accepting new patients
First Choice Physician Partners CurrentSince Apr 1, 2023 Accepting new patients
Sutter Gould Medical Foundation Past Accepting new patients
Total Renal Care Inc Past Accepting new patients

Locations

8170 Laguna Blvd
Ste 303
Elk Grove, CA 95758
Phone (916) 478-6584

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1541 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2725 Capitol Ave
Dept 400
Sacramento, CA 95816
Phone (916) 262-9386

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

10940 Trinity Pkwy
Ste C271
Stockton, CA 95219

6940 Pacific Ave
Stockton, CA 95207
Phone (209) 477-0817

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

1711 S Stephenson Ave
Ste 320
Iron Mountain, MI 49801
Phone (906) 776-5270

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

Interoperability endpoints

  • Direct secure messaging: nakia.edwards.1@22710.direct.athenahealth.com
  • Direct secure messaging: nedwards427709@hisp.ehr.sutterhealth.org
  • Direct secure messaging: nedwards616140@direct.uvmhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1548725310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 FLOYD AVE",
            "address_2": "APT 245",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953557932",
            "telephone_number": "334-421-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 FLORIDA AVE STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504438",
            "telephone_number": "209-577-3388",
            "fax_number": "209-338-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 Whistler Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953559738",
            "country_code": "US",
            "telephone_number": "334-421-7476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 S Prospect St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054013456",
            "country_code": "US",
            "telephone_number": "802-847-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NAKIA",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0137900",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-141525",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95011384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAKIA",
            "last_name": "POWELL",
            "middle_name": "ANTOINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.