Kaitlyn Nicole Edwards, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

56701 Issued in KY

Practice address

160 Pedro Way
Winchester, KY 40391-8354

Phone

(859) 737-8483

NPI assigned

Apr 6, 2017

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

University of Louisville School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Regional Physician Practices LLCGroup PAC ID 9739337569, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlyn.edwards.1@19475.direct.athenahealth.com

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.

• Clark Regional Physician Practices LLC

  dba Centerpoint Family Medicine - Mt. Sterling

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1780356253
  Medicare reassignment Care Compare group NPD
• Clark Regional Physician Practices, LLC

  dba Centerpoint Podiatry - Winchester

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
  • NPI 1114282605
  NPD
• Kentucky Hospital, LLC

  dba Clark Regional Medical Center

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kentucky Hospital, LLC

  dba Clark Regional Medical Center

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  Care Compare affiliation

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1902339914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 CENTER DR # M2-228",
            "address_2": "PO BOX 100264",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "352-273-5199",
            "fax_number": "352-392-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PEDRO WAY",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918354",
            "telephone_number": "859-737-8483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Center Dr # M2-228",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103006",
            "country_code": "US",
            "telephone_number": "352-273-5199",
            "fax_number": "352-392-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "56701",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Institute of Kentucky PLLC
• Drayer Physical Therapy Kentucky LLC
• Dungarvin Kentucky, LLC - Winchester
• East TN Medical Clinic
• Eastern Kentucky Recovery, LLC
• Jami Elam, OTR/L
• Ricky Don Ellis, M.ED. LPCA
• Donna Ely, LCSW
• Matthew Drew Enz, OTR/L
• Caleb Epperson, PHARMD, RPH

• Otolaryngology Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.