Individual provider Active NPI

Baipidi Emily Edwards, ARNP

  • Community Health Nurse Practitioner
  • Haines City, FL
National Provider Identifier
1912980673
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
ARNP9212580 Issued in FL
Practice address
1700 Baker Ave
Haines City, FL 33844-8839
Phone
(863) 421-3204
NPI assigned
Nov 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X ARNP9212580 FL Primary

Addresses

Primary practice location

1700 Baker Ave
Haines City, FL 33844-8839

Mailing address

1290 Golfview Ave
4TH Floor
Bartow, FL 33830
Phone (863) 519-7900

Other practice location 1

835 W Central Ave
Lake Wales, FL 33853-4024
Phone (863) 678-4144

Other identifiers 1

IdentifierTypeStateIssuer
306121300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110707000145 FL Practitioner - Nurse Practitioner 4688658743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP9212580FLMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Apr 24, 2011 Accepting new patients
Florida Department of Health CurrentSince Apr 24, 2011 Accepting new patients
University Medical Service Association Inc Past Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

1749 Holt Rd
Auburndale, FL 33823
Phone (863) 965-6259

1290 Golfview Ave
Fl 4
Bartow, FL 33830

1290 Golfview Ave
Bartow, FL 33830
Phone (863) 519-7900

1290 Golfview Ave
#4
Bartow, FL 33830

1700 Baker Dairy Rd
Haines City, FL 33844
Phone (863) 419-3252

835 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144

Organizations & group practices 4

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": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1912980673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 GOLFVIEW AVE",
            "address_2": "4TH FLOOR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-519-7900",
            "fax_number": "863-519-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BAKER AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448839",
            "telephone_number": "863-421-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338534024",
            "country_code": "US",
            "telephone_number": "863-678-4144",
            "fax_number": "863-678-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BAIPIDI",
        "middle_name": "EMILY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-26",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "ARNP9212580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306121300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.