ANDY JAY EDWARDS (NPI# 1063910933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063910933 |
| Entity Type | Individual |
| Full Name | ANDY JAY EDWARDS |
| Credential | FNP-C |
| Practice Address |
7050 Union Park Center #200 Midvale UT 84047-4171 |
| Mailing Address |
200 Oceangate Ste 100 Long Beach CA 90802-4317 |
| Practice Telephone | 8885625442 |
| Practice Fax Number | 5624996171 |
| Mailing Telephone | 8885625442 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 8650489-3102 | UT | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8650489-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
8560489-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276545 | Andy Edwards | Community/Behavioral Health | 7003 Tumbleweed Dr Apt D, Cheyenne, WY 82009-1037 | 2019-03-27 |
| Street Address |
7050 UNION PARK CENTER #200 |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619486396 | Molina Healthcare of Utah | Nurse Practitioner | 7050 S Union Park Ave Ste 200, Midvale, UT 84047-4171 | 2017-09-25 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1871031708 | Joanna Ruth Kennedy | Nurse Practitioner | 602 E Fort Union Blvd, Midvale, UT 84047-2216 | 2017-02-12 |
| 1972936326 | Whitney Jean Mentaberry | Nurse Practitioner | 65 E Twin Peaks St, Midvale, UT 84047-1215 | 2013-08-20 |
| 1912207226 | Stacie R Pearce | Nurse Practitioner | 602 E 7200 S, Midvale, UT 84047-2216 | 2010-11-02 |
| 1578198966 | Alexandra Nicole Hecht | Nurse Practitioner | 7050 S Union Park Ave Ste 200, Midvale, UT 84047-4171 | 2020-03-06 |
| 1508498221 | Kira Sue Whaley | Nurse Practitioner | 7495 S State St, Midvale, UT 84047-2013 | 2020-02-11 |
| 1083276232 | Starlene Rose | Nurse Practitioner | 602 E Fort Union Blvd, Midvale, UT 84047-2216 | 2019-07-08 |
| 1912435421 | Kyle Olson | Nurse Practitioner | 7309 S 180 W, Midvale, UT 84047-1020 | 2017-05-28 |
| 1316491327 | Katherine Lynn O'brien | Nurse Practitioner | 8446 S Harrison St, Midvale, UT 84047-3501 | 2016-08-08 |
| Find all providers in MIDVALE | ||||
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| 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.