Kyeesha Edwards, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9419079 Issued in FL

Practice address

1103 76TH St NW
Bradenton, FL 34209-1032

Phone

(813) 385-6744

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1689166753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 76TH ST NW",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342091032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 76TH ST NW",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342091032",
            "telephone_number": "813-385-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KYEESHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9419079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edge Therapies LLC
• Andrew Edwards, LAT, ATC
• Bridgett Elaine Edwards, APRN
• Christine Edwards
• Drew Jameson Edwards, M.D.
• Ehra Medical Services of Florida LLC
• Jean Marie Ehrhardt, ARNP
• Nadia Eid
• Jeffrey Eimer
• Drexyl Eitniear

• All providers in Bradenton, FL
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.