Active NPI
Sarah Edwardy, BSN, RN, PHN
- Student in an Organized Health Care Education/Training Program
- St Louis Park, MN
National Provider Identifier
1770417412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- R167618-7
- Practice address
- 1155 Ford Rd
St Louis Park, MN 55426-1099 - Phone
- (952) 378-1800
- NPI assigned
- Jun 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R167618-7 | MN | Primary |
Addresses
Primary practice location
1155 Ford Rd
St Louis Park, MN 55426-1099
Mailing address
11205 Goodhue St NE
Blaine, MN 55449-4415
Phone (612) 751-3683
Other practice location 1
2303 Wycliff St Ste W210
Saint Paul, MN 55114-1272
Phone (612) 424-0434
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1770417412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11205 GOODHUE ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554494415",
"telephone_number": "612-751-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 FORD RD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261099",
"telephone_number": "952-378-1800"
}
],
"practiceLocations": [
{
"address_1": "2303 Wycliff St Ste W210",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551141272",
"country_code": "US",
"telephone_number": "612-424-0434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDY",
"first_name": "SARAH",
"credential": "BSN, RN, PHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": "R167618-7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.