ANDRE EDWARDS (NPI# 1013339688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013339688 |
| Entity Type | Individual |
| Full Name | ANDRE EDWARDS |
| Credential | N.P. |
| Practice Address |
1111 Exposition Blvd Suite 700 Sacramento CA 95815-4314 |
| Practice Telephone | 9167363399 |
| Practice Fax Number | 9164694382 |
| Mailing Telephone | 9167363399 |
| Mailing Fax Number | 9164694382 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPF22262 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | NPF22262 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144451956 | Andre Fabian Edwards | Social Worker | 1509 16th St Nw, Washington, DC 20036-1461 | 2009-07-29 |
| 1427205418 | Andre Edwards | Radiology | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | 2008-08-21 |
| Street Address |
1111 EXPOSITION BLVD SUITE 700 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637967 | Ernest E Johnson | Otolaryngology | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4300 | 2005-05-24 |
| 1306229430 | James H Griffitts | Audiologist | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4314 | 2015-07-07 |
| 1073914750 | Parita Shah | Physician Assistant | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4314 | 2014-09-12 |
| 1972890135 | Elizabeth Anne Platt | Genetic Counselor, MS | 1111 Exposition Blvd, Bldg. 200, Sacramento, CA 95815-4314 | 2011-07-07 |
| 1285891515 | Patrick William Slavensky | Chiropractor | 1111 Exposition Blvd, Suite 500b, Sacramento, CA 95815-4314 | 2008-05-22 |
| 1811160310 | Megan Frances Strange | Audiologist | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4314 | 2008-04-07 |
| 1245402338 | Eli Robert Groppo | Otolaryngology | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4314 | 2008-03-28 |
| 1619148343 | Roya Ziarati | Audiologist | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4300 | 2008-03-20 |
| 1437320165 | Nudar I Hummadi | Specialist/Technologist | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4300 | 2008-03-20 |
| 1801067533 | Barbara A Bennitt | Audiologist | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4300 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633500 | Mary Cobleigh Banfield | Nurse Practitioner | 1009 1/2 T St, Sacramento, CA 95811-6560 | 2020-06-10 |
| 1952926438 | Perla Zuliana Aguayo Vazquez | Nurse Practitioner | 3520 El Ricon Way, Sacramento, CA 95864-2915 | 2020-06-10 |
| 1043834302 | Lacey Elizabeth Watson | Nurse Practitioner | 3710 J St Ste 201, Sacramento, CA 95816-5519 | 2020-06-02 |
| 1467081513 | Meeri Kim | Nurse Practitioner | 2425 Alhambra Blvd Ste 250, Sacramento, CA 95817-1110 | 2020-04-01 |
| 1134763238 | Mary Dicou | Nurse Practitioner | 1747 N Market Blvd, Sacramento, CA 95834-2978 | 2019-10-31 |
| 1265099030 | Christopher Adam Phillips | Nurse Practitioner | 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 | 2019-05-28 |
| 1669942538 | Inna Dariychuk | Nurse Practitioner | 500 Howe Avenue, Suite 100, Sacramento, CA 95825 | 2018-12-04 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1770091621 | Rane Nathan Beal | Nurse Practitioner | 209 29th St Ste B, Sacramento, CA 95816-3271 | 2018-01-12 |
| 1730698846 | Olivia Rapozo | Nurse Practitioner | 4860 Y St # 3400, Sacramento, CA 95817-2307 | 2017-09-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
Please comment or provide details below to improve the information on ANDRE EDWARDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.