Active NPI
Kerryann Edwards
- School Registered Nurse
- Long Island City, NY
National Provider Identifier
1780497446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 845359
- Practice address
- 28-11 Queens Plaza North
Long Island City, NY 11101 - Phone
- (718) 391-8300
- NPI assigned
- Jan 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 845359 | NY | Primary |
Addresses
Primary practice location
28-11 Queens Plaza North
Long Island City, NY 11101
Mailing address
810 River Ave Apt 17L
Bronx, NY 10451
Phone (347) 541-6334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 845359 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1780497446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 RIVER AVE APT 17L",
"city": "BRONX",
"state": "NY",
"postal_code": "10451",
"telephone_number": "347-541-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28-11 QUEENS PLAZA NORTH",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11101",
"telephone_number": "718-391-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KERRYANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "845359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.