Active NPI
Dana Edwards, RN
- Psychiatric/Mental Health Registered Nurse
- Blytheville, AR
National Provider Identifier
1841573128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- R83434-RN
- Practice address
- 634 W Main St
Blytheville, AR 72315-3336 - Phone
- (870) 780-6986
- Fax
- (870) 780-6987
- NPI assigned
- Sep 23, 2011
- Last updated
- Sep 23, 2011
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R83434-RN | AR | Primary |
Addresses
Primary practice location
634 W Main St
Blytheville, AR 72315-3336
Mailing address
634 W Main St
Blytheville, AR 72315-3336
Phone (870) 780-6986
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R83434-RN | AR | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxus Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1841573128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 W MAIN ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723153336",
"telephone_number": "870-780-6986",
"fax_number": "870-780-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 W MAIN ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723153336",
"telephone_number": "870-780-6986",
"fax_number": "870-780-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "DANA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "AR",
"license": "R83434-RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blytheville, AR
- Alexandria Lee Sides Easley
- East Arkansas Emergency Physicians, PLLC
- East Arkansas Family Health Center Inc (Healthy Partners)
- East Arkansas Family Health Center Inc. (Healthy Partners)
- Tiffany Rochell Edmondson
- Merideth Elder, MHPP
- Eldercare of Arkansas Inc. (Stonebridge of Blytheville)
- Susan Elkins, RN
- Kathleen Elliott, PD
- Marc Steve Espanola
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.