Julie Dominick Edwards, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17589 Issued in SC

Practice address

122 Powell Dr
Lexington, SC 29072-9203

Phone

(803) 781-5200

NPI assigned

Dec 9, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: julieedwards@chapinpedi.allscriptsdirect.net

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1962770545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 DUTCH FORK RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638830",
            "telephone_number": "803-781-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 POWELL DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729203",
            "telephone_number": "803-781-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JULIE",
        "middle_name": "DOMINICK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian E Eaves, DMD
• Amber Tourville Edens, MA,CCC-SLP
• Marshal Edrada, PTA
• Amanda Lauren Edwards, PT
• Christina Jocklene Edwards, AGPCNP-C
• Mark Christopher Edwards, PT
• Michelle Lynne Eichelberger, MSW
• Elite Gynecology
• Lakeisha Yvonne Elkins
• Kirstin Ellinger, OT

• Family Nurse Practitioner in Lexington, SC
• Providers in Lexington, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.