William Lane Edwards Jr., ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN768592 Issued in FL

Practice address

4161 Tamiami TRL
Suite 201
Port Charlotte, FL 33952-9204

Phone

(941) 764-0800

Fax

(941) 764-6494

NPI assigned

Oct 13, 2005

Last updated

May 10, 2016By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20881/brand/1/csg/1/fhir/r4

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.

• Comprehensive Hospitalist Services of Naples LLC

  • Hospitalist Physician
  • Daytona Beach, FL
  • NPI 1851693568
  NPD (past)
• Neurology PA

  • Specialist
  • Port Charlotte, FL
  • NPI 1326074857
  NPD (past)
• NC Comprehensive Hospitalists PLLC

  • Hospitalist Physician
  • Smithfield, NC
  • NPI 1023310257
  NPD (past)
• Wright & Associates Family Healthcare, PLLC

  • Family Nurse Practitioner
  • Amherst, NH
  • NPI 1275755324
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1861480790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-764-0800",
            "fax_number": "941-764-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-764-0800",
            "fax_number": "941-764-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WILLIAM",
        "middle_name": "LANE",
        "name_suffix": "Jr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN768592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC",
            "identifier": "Y48882",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302767800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton Eberling
• Eddison Nelson
• Ndubuisi Christopher Edeoga, MD
• John Ricardo Edmond, APRN FNP-BC
• Eduardo Carmona MD PA
• Amber Egerson, OTR/L, CLT
• Lisa Gaye Eggers, NBC-HAS
• Ehra Medical Services of Florida LLC
• Kareem Riad Mostafa Eid, M.D.
• Elias R Quintos MD PA

• Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.