KENT EDWARDS (NPI# 1750893889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750893889 |
Entity Type | Individual |
Full Name | KENT EDWARDS |
Credential | FNP-C |
Practice Address |
11488 Sugar Creek Rd Benton IL 62812-4315 |
Practice Telephone | 6189271610 |
Mailing Telephone | 6189271610 |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-10-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 209016765 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548266919 | Kent Austin Edwards | Physical Therapist | 2679 N Forest Ridge Blvd, Hernando, FL 34442-5123 | 2005-06-22 |
1730530502 | Kent Edwards Jr. | Urology | 169 Ashley Ave, Room 202 Main Hospital, Charleston, SC 29425-8905 | 2016-06-23 |
Street Address |
11488 SUGAR CREEK RD |
City | BENTON |
State | IL |
Zip Code | 62812-4315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
Find all providers in zip 62812 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
1205315900 | David Lamont Mccombs | Nurse Practitioner | 1696 Steel Bridge Rd, Benton, AR 72019-3875 | 2018-08-13 |
1427385376 | Amber Nicole Thorne | Nurse Practitioner | 6468 State Highway 77, Benton, MO 63736-8237 | 2009-11-13 |
1467653014 | Renee D Wilson | Nurse Practitioner | 825 Graham Rd, Benton, AR 72015-8975 | 2007-05-30 |
1457450827 | Lori D Mcbride | Nurse Practitioner | 1000 Highway 35 N Ste 8, Benton, AR 72019-2353 | 2006-09-22 |
1073547717 | Debbie Lynn Holman | Nurse Practitioner | 1403 N Main St, Benton, IL 62812-1918 | 2006-07-10 |
1568091270 | Toni Shantel Gordon-bailey | Nurse Practitioner | 615 Old Symsonia Rd, Benton, KY 42025-5042 | 2020-04-04 |
1912549965 | Brooke Hudson | Nurse Practitioner | 201 Bailey Ln, Benton, IL 62812-1999 | 2019-10-10 |
1497288492 | Diana Tomlianovich | Nurse Practitioner | 203 Bailey Ln, Suite 1, Benton, IL 62812-2266 | 2017-04-06 |
1528412095 | Ann Smith Depoe | Nurse Practitioner | 4469 Red Rock Rd, Benton, PA 17814-7606 | 2016-04-20 |
Find all providers in BENTON |
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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.