Individual provider Active NPI

Joyce Ann Edwards, RNFA

  • Registered Nurse First Assistant
  • Tallahassee, FL
National Provider Identifier
1639623739
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN 2119092 Issued in FL
Practice address
2626 Care Dr
Suite 105
Tallahassee, FL 32308-4495
Phone
(850) 402-3104
Fax
(850) 402-9979
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN 2119092 FL Primary

Addresses

Primary practice location

2626 Care Dr
Suite 105
Tallahassee, FL 32308-4495

Mailing address

2626 Care Dr
Suite 105
Tallahassee, FL 32308-4495
Phone (850) 402-3104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN 2119092FLMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Healthcare LLC PastSince Jan 5, 2015 Accepting new patients

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1639623739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 CARE DR",
            "address_2": "SUITE 105",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084495",
            "telephone_number": "850-402-3104",
            "fax_number": "850-402-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CARE DR",
            "address_2": "SUITE 105",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084495",
            "telephone_number": "850-402-3104",
            "fax_number": "850-402-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOYCE",
        "middle_name": "ANN",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN 2119092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.