Individual provider Active NPI

Nicole L Edwards, FNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1942687355
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19852 Issued in TN
Practice address
3200 W End Ave
Nashville, TN 37203-1330
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0106358 CO
Family Nurse Practitioner 363LF0000X 19852 TN Primary
Family Nurse Practitioner 363LF0000X 101.0138866 VT
Family Nurse Practitioner 363LF0000X 1234500 TX
Family Nurse Practitioner 363LF0000X APRN11046360 FL
Family Nurse Practitioner 363LF0000X 901506 MS

Addresses

Primary practice location

3200 W End Ave
Nashville, TN 37203-1330

Mailing address

3200 W End Ave
Nashville, TN 37203-1330
Phone (866) 849-0692

Other identifiers 2

IdentifierTypeStateIssuer
03224354MedicaidMS
Q018202MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151104000372 TN Practitioner - Nurse Practitioner 2567772502 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Physicians Group of Tennessee, PLLCGroup PAC ID 5597187088, 6 clinicians

Practice addresses (Care Compare)

1056 E Raines Rd
Memphis, TN 38116-6337
Phone (901) 410-2677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Hospice of Tennessee CurrentSince Mar 1, 2021 Accepting new patients
Community Transition Nurse Care Manager, LLC CurrentSince Mar 14, 2023 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Crossroads Hospice of Tennessee, LLC CurrentSince Nov 6, 2022 Accepting new patients
Segue Health Partners LLC CurrentSince Sep 26, 2022 Accepting new patients

Locations

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

1669 Shelby Oaks Dr N
Ste 106
Memphis, TN 38134
Phone (901) 382-9292

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16914/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20901/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1942687355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W END AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031330",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W END AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031330",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0106358",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19852",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0138866",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1234500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11046360",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03224354",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018202",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.