Kindra Edwards, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-148607 Issued in AL

Practice address

105 Fire Station Rd
Baileyton, AL 35019-9609

Phone

(256) 735-4057

Fax

(256) 735-4229

NPI assigned

Dec 1, 2017

Last updated

Mar 21, 2023By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview Family Clinic LLCGroup PAC ID 3678086634, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Cullman, AL, CCN 017014
• Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kindra.edwards@953542771671044.direct.elationemr.com
• Direct secure messaging: kindra.edwards@dailymed.directbygreenway.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.

• Fairview Family Clinic LLC

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1326873514
  Medicare reassignment Care Compare group NPD
• Daily Medical, LLC

  dba Baileyton Family Medicine

  • Family Nurse Practitioner
  • Baileyton, AL
  • NPI 1164996757
  Medicare reassignment NPD
• Rushforth Family Care LLC

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1730966854
  Medicare reassignment NPD

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

• Amedisys Home Health of Alabama, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Cullman, AL
  • NPI 1649238981
  Care Compare affiliation
• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339
  Care Compare affiliation

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1912411737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "BAILEYTON",
            "state": "AL",
            "postal_code": "350190130",
            "telephone_number": "256-735-4057",
            "fax_number": "256-735-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIRE STATION RD",
            "city": "BAILEYTON",
            "state": "AL",
            "postal_code": "350199609",
            "telephone_number": "256-735-4057",
            "fax_number": "256-735-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KINDRA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215160",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "512-05847",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daily Medical, LLC (Baileyton Family Medicine)
• Josiah Chad Daily, M.D.
• Emily Steely Etheridge
• Buffy Gray, NP
• Charles Lee Gray Jr., FNP-BC
• Patricia C Jaggers, MD
• Kimberly Knowlton Seymore, AGPC-BC

• Family Nurse Practitioner in Baileyton, AL
• Providers in Baileyton, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.