Active NPI
Amygrace Edwards, R.N.
- Registered Nurse
- Fairplay, CO
National Provider Identifier
1861852816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.1636804
- Practice address
- 825 Clark Street
Suite a
Fairplay, CO 80440-0846 - Phone
- (719) 836-4154
- Fax
- (719) 836-3433
- NPI assigned
- Mar 3, 2016
- Last updated
- Mar 3, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.1636804 | CO | Primary |
Addresses
Primary practice location
825 Clark Street
Suite a
Fairplay, CO 80440-0846
Mailing address
PO Box 1198
Bailey, CO 80421-8198
Phone (719) 839-0757
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 |
|---|---|---|---|
| RN.1636804 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1861852816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1198",
"city": "BAILEY",
"state": "CO",
"postal_code": "804218198",
"telephone_number": "719-839-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 CLARK STREET",
"address_2": "SUITE A",
"city": "FAIRPLAY",
"state": "CO",
"postal_code": "804400846",
"telephone_number": "719-836-4154",
"fax_number": "719-836-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "AMYGRACE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.1636804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairplay, CO
- County of Park Dba Park County Public Health
- Shirlene Davis, LMT
- Rebecka F Dinwoodie
- Diversus Health Inc (Diversus Health Services)
- Diversus Health Inc (AspenPointe Health Services)
- Carrie Danine Fabel, CMT
- Fairplay Physical Therapy PC
- Kristin Elizabeth Farr
- Katherine M Fitting, M.D.
- Adam Fyler, MT-BC, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.