Amy Lynn Edelen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5130 Issued in KY

Practice address

2200 E Parrish Ave BLDG C
Owensboro, KY 42303-1449

Phone

(270) 478-4019

Fax

(270) 478-4129

NPI assigned

Jun 18, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Clark Chiropractic Center,LLC

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1053665802
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1760643175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE BLDG C",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-478-4019",
            "fax_number": "270-478-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE BLDG C",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-478-4019",
            "fax_number": "270-478-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 E Parrish Ave",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423033126",
            "country_code": "US",
            "telephone_number": "270-852-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELEN",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100058410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Dawn Eblen, APRN
• Morgan Cecil Eddmenson, PHARMD
• Abigail C Edds, DMD
• Gerald G. Edds, MD
• Edelen Family Chiropractic, PLLC
• Connie Edge
• Johnathon Curtis Edge, MD
• Teresa Ann Edge, LPA
• Edwards Behavioral Health LLC
• Emily B. Edwards

• Chiropractor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.