Active NPI
Alexandra Edwards
- Athletic Trainer
- Hurlburt Field, FL
National Provider Identifier
1942747498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000018808
- Practice address
- 103 Kerwood Rd
Building 91025
Hurlburt Field, FL 32569 - Phone
- (850) 881-9987
- NPI assigned
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000018808 | PA | Primary |
Addresses
Primary practice location
103 Kerwood Rd
Building 91025
Hurlburt Field, FL 32569
Mailing address
8406 Island Dr
Navarre, FL 32566-3244
Phone (610) 216-8239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000018808 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1942747498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8406 ISLAND DR",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325663244",
"telephone_number": "610-216-8239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 KERWOOD RD",
"address_2": "BUILDING 91025",
"city": "HURLBURT FIELD",
"state": "FL",
"postal_code": "32569",
"telephone_number": "850-881-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2022-06-14",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "2000018808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurlburt Field, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.