Individual provider Active NPI

Abby Renee Edwards, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1841612199
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60877591 Issued in WA
Practice address
4412 Rainier Ave S
Seattle, WA 98118
Phone
(888) 227-3312
NPI assigned
Jan 6, 2014
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131020 TX
Family Nurse Practitioner 363LF0000X AP60877591 WA Primary
Registered Nurse 163W00000X RN60877298 WA

Addresses

Primary practice location

4412 Rainier Ave S
Seattle, WA 98118

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

3705 S Meridian Ste B
Puyallup, WA 98373-3709
Phone (253) 765-5050

Other identifiers 1

IdentifierTypeStateIssuer
1841612199MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20190122003585 WA Practitioner - Nurse Practitioner 2466682026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3705 S Meridian
Suite B
Puyallup, WA 98373-3709
Phone (253) 765-5050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60877298WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Washington Physicians, P.C. Current Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince May 5, 2025 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince May 5, 2025 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince May 5, 2025 Accepting new patients
Iora Senior Health, LLC CurrentSince May 5, 2025 Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

Interoperability endpoints

  • Direct secure messaging: abby.edwards.1@30093.direct.athenahealth.com

Organizations & group practices 6

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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1841612199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98118",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 S Meridian Ste B",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983733709",
            "country_code": "US",
            "telephone_number": "253-765-5050",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ABBY",
        "middle_name": "RENEE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60877591",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60877298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841612199",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.