Individual provider Active NPI

Sharon Edwards, ARNP,CS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Virginia Beach, VA
National Provider Identifier
1972571867
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
0024174312 Issued in VA
Practice address
2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524
Phone
(757) 536-2246
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 4296S KY
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 0024174312 VA Primary

Addresses

Primary practice location

2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524

Mailing address

P O Box 23823
Lexington, KY 40523
Phone (859) 278-8772

Other practice location 1

125 E Maxwell St
Ste 300
Lexington, KY 40508-2678
Phone (859) 278-8772 ext. 303

Other identifiers 4

IdentifierTypeStateIssuer
000000371930OtherBCBS CKBH
78011988MedicaidKY
1211023OtherCHA CKBH
P00295305OtherRAILROAD MED. CKBH

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)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024174312VAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Primary Care, LLC Past Accepting new patients
J & L Healthcare Consultants LLC Past Accepting new patients
Alc Resources LLC Psychiatric/Mental Health PastSince Nov 5, 2012 Accepting new patients

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1972571867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 23823",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40523",
            "telephone_number": "859-278-8772",
            "fax_number": "859-422-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD STE 450",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234528524",
            "telephone_number": "757-536-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Maxwell St",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405082678",
            "country_code": "US",
            "telephone_number": "859-278-8772 x303",
            "fax_number": "859-422-4361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "ARNP,CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4296S",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  CKBH",
            "identifier": "000000371930",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78011988",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA   CKBH",
            "identifier": "1211023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED.  CKBH",
            "identifier": "P00295305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.