NPIMap

Individual provider Active NPI

Kyle Edwards, APRN FNP-C

  • Family Nurse Practitioner
  • Clinton, OK
National Provider Identifier
1790260511
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81233 Issued in OK
Practice address
800 Frisco Ave
Clinton, OK 73601-3306
Phone
(580) 323-2700
Fax
(580) 323-2276
NPI assigned
Sep 27, 2018
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81233 OK Primary

Addresses

Primary practice location

800 Frisco Ave
Clinton, OK 73601-3306

Mailing address

800 Frisco Ave
Clinton, OK 73601-3306
Phone (580) 323-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209001293 OK Practitioner - Nurse Practitioner 9234623125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert V Blakeburn MD PCGroup PAC ID 0446293120, 6 clinicians

Practice addresses (Care Compare)

800 Frisco Ave
Suite a
Clinton, OK 73601-3306
Phone (580) 323-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
81233OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert V Blakeburn MD PC CurrentSince Nov 1, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
State of Oklahoma Past Accepting new patients

Locations

800 Frisco Ave
Clinton, OK 73601
Phone (580) 323-2700

800 Frisco Ave
Ste A
Clinton, OK 73601
Phone (580) 323-2700

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kedwards@rvbmp-ok.direct.office.nextgen.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1790260511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FRISCO AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013306",
            "telephone_number": "580-323-2700",
            "fax_number": "580-323-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FRISCO AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013306",
            "telephone_number": "580-323-2700",
            "fax_number": "580-323-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KYLE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "81233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.