Susan Edge, RN,FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

249269 Issued in TX

Practice address

205 E Lavielle St
Kirbyville, TX 75956-2119

Phone

(409) 423-2217

NPI assigned

May 12, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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.

• Geriatric Associates of America-Texas, PLLC

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1669682886

  Family

  NPD (past)
• Geriatric Associates of America, P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1093768673
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1811947401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 COUNTY ROAD 701",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759564912",
            "telephone_number": "409-363-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E LAVIELLE ST",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562119",
            "telephone_number": "409-423-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "SUSAN",
        "credential": "RN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "249269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174741201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookshire Bros Pharmacy of Kirbyville Texas
• Burke Center
• Christus Health Southeast Texas
• Cooper and Rosemon L.L.C
• East Texas Family Healthcare PLLC
• Douglas Michael Gage, PHARM.D.
• Lan Thuy Giap, PHARMD
• Godspeed DME, LLC
• Heartway III Corporation
• Home Care Innovations, Inc

• Family Nurse Practitioner in Kirbyville, TX
• Providers in Kirbyville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.