Individual provider Active NPI

Veronica Edwards, FNP

  • Family Nurse Practitioner
  • La Grange, KY
National Provider Identifier
1598218810
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012015 Issued in KY
Practice address
606 Crystal PL Ste 3
La Grange, KY 40031-1459
Phone
(502) 535-2158
Fax
(502) 918-8099
NPI assigned
Aug 3, 2016
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012015 KY Primary
Family Nurse Practitioner 363LF0000X 28223288A IN
Family Health Clinical Nurse Specialist 364SF0001X 28223288A IN

Addresses

Primary practice location

606 Crystal PL Ste 3
La Grange, KY 40031-1459

Mailing address

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 732-3280

Other practice location 1

309 11th St
Carrollton, KY 41008-1435
Phone (502) 732-3280

Other identifiers 1

IdentifierTypeStateIssuer
1598218810OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200512002288 KY Practitioner - Nurse Practitioner 8123393865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCMH CorporationGroup PAC ID 2365540465, 11 clinicians

Practice addresses (Care Compare)

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 732-3278

606 Crystal PL
Suite 3
La Grange, KY 40031-1459
Phone (502) 535-2158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.89 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
67.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012015KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of the East, PA CurrentSince Jan 27, 2025 Accepting new patients
CCMH Corporation CurrentSince Jun 10, 2025 Accepting new patients
Community NP,LLC Family CurrentSince Jan 1, 2022 Accepting new patients
CCMH Corporation CurrentSince Jun 10, 2025 Accepting new patients
Kentuckiana Geriatric and Palliative Services PLLC Family CurrentSince May 22, 2024 Accepting new patients
Yasir Saifullah MD PLLC Past Accepting new patients
CCMH Corporation Past Accepting new patients
Yasir LLC PastSince Jul 1, 2020 Accepting new patients

Locations

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

313 S First Ave
La Grange, KY 40031
Phone (502) 535-2158

606 Crystal Pl
Ste 3
La Grange, KY 40031
Phone (502) 535-2158

10200 Forest Green Blvd
Ste 112
Louisville, KY 40223
Phone (502) 214-5343

1877 Farnsley Rd
Shively, KY 40216
Phone (502) 425-0820

Organizations & group practices 8

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 5

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1598218810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-3280",
            "fax_number": "502-575-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CRYSTAL PL STE 3",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400311459",
            "telephone_number": "502-535-2158",
            "fax_number": "502-918-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 11th St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "410081435",
            "country_code": "US",
            "telephone_number": "502-732-3280",
            "fax_number": "502-575-6234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "VERONICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012015",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28223288A",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "IN",
            "license": "28223288A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598218810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

Verify at the official NPI Registry.