Active NPI
Sharon Edwards, ARNP,CS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Virginia Beach, VA
National Provider Identifier
1972571867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 0024174312
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000371930 | Other | BCBS CKBH | |
| 78011988 | Medicaid | KY | |
| 1211023 | Other | CHA CKBH | |
| P00295305 | Other | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174312 | VA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Primary Care, LLC | Past | Accepting new patients | |
| J & L Healthcare Consultants LLC | Past | Accepting new patients | |
| Alc Resources LLC | Psychiatric/Mental Health | Past | 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.
-
dba Central Kentucky Behavioral Health
- Psychiatric/Mental Health Clinical Nurse Specialist
- Lexington, KY
- NPI 1386687192
-
dba JoyRich Healthcare Centers
- Nurse Practitioner
- Lexington, KY
- NPI 1275520454
-
- Rural Health Clinic/Center
- Richmond, KY
- NPI 1730473745
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.