Individual provider Active NPI

Amy Doris Edwards, APRN

  • Family Nurse Practitioner
  • Monticello, KY
National Provider Identifier
1942700976
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012086 Issued in KY
Practice address
268 Rolling Hills BVLD.
Monticello, KY 42633-9004
Phone
(606) 753-0293
Fax
(606) 753-0291
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012086 KY Primary

Addresses

Primary practice location

268 Rolling Hills BVLD.
Monticello, KY 42633-9004

Mailing address

PO Box 1737
N/a
Monticello, KY 42633-4737
Phone (606) 753-0293

Other names 1

  • Amy Doris Norfleet Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308001115 KY Practitioner - Nurse Practitioner 0941561922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cumberland Pediatrics PLLCGroup PAC ID 3375828379, 10 clinicians

Practice addresses (Care Compare)

268 Rolling Hills Blvd
Monticello, KY 42633-9004
Phone (606) 753-0293

Hospital & facility affiliations

  • Wayne County Hospital Hospital, Monticello, KY, CCN 181321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012086KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Pediatrics PLLC Family CurrentSince Mar 1, 2018 Accepting new patients

Locations

1215 N Main St
Ste 2
Monticello, KY 42633
Phone (606) 340-8825

268 Rolling Hills Blvd
Monticello, KY 42633
Phone (606) 688-3112

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1942700976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1737",
            "address_2": "N/A",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426334737",
            "telephone_number": "606-753-0293",
            "fax_number": "606-753-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 ROLLING HILLS BVLD.",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339004",
            "telephone_number": "606-753-0293",
            "fax_number": "606-753-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "AMY",
        "middle_name": "DORIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NORFLEET",
            "middle_name": "DORIS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.