Individual provider Active NPI

Kristyn Edwards, BS

  • Case Manager/Care Coordinator
  • Berea, KY
National Provider Identifier
1891361762
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
292 Glades Rd Ste 8
Berea, KY 40403-1368
Phone
(859) 428-7862
Fax
(859) 999-7869
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

292 Glades Rd Ste 8
Berea, KY 40403-1368

Mailing address

PO Box 802
Berea, KY 40403-0802
Phone (859) 428-7862

Other practice location 1

451 Big Hill Ave Ste 5
Richmond, KY 40475-2596
Phone (859) 428-7862

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
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Counseling, LLC Case Manager/Care Coordinator CurrentSince Jun 6, 2021 Accepting new patients

Locations

292 Glades Rd
Ste 8
Berea, KY 40403
Phone (859) 428-7862

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1891361762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404030802",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 GLADES RD STE 8",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031368",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Big Hill Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752596",
            "country_code": "US",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KRISTYN",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.