Deangela Edwards, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2001006601 Issued in MO

Practice address

2638 San Rafael PL
Saint Louis, MO 63114-5135

Phone

(314) 265-1221

NPI assigned

Oct 27, 2014

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

State licenses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1801291398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 SAN RAFAEL PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145135",
            "telephone_number": "314-265-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 SAN RAFAEL PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145135",
            "telephone_number": "314-265-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DEANGELA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2001006601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Henry Edwards, PHARMD
• Bonnie Edwards, RN
• Cady Beedy Edwards, MD
• Cathy Lynn Edwards, O.D.
• Christine Blair Edwards, PA
• Donna Jean Edwards
• Emilie Claire Edwards, MOT, OTR L
• Glenn Robert Edwards, DMD
• Jacob Christopher Edwards, MD
• Jamie Heather Edwards

• Licensed Practical Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.