LAVONDIA EDWARDS FNP NPI 1235460163

NPI Information

NPI: 1235460163
Provider Name: LAVONDIA EDWARDS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: HOSPITALIST MEDICINE PHYSICIANS OF MISSOURI - RICHMOND HEIGHTS INC

PECOS Registration: Yes

Address:
11133 DUNN RD
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 653-5000
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Lavondia Edwards, FNP is a family nurse practitioner in Saint Louis, MO with 15 years of experience. Lavondia Edwards, FNP NPI is 1235460163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11133 DUNN RD
SAINT LOUIS, MO
ZIP 63136-119
Phone: (314) 653-5000
Fax: (314) 317-0606

The NPI 1235460163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2010 and was last updated on 4/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		154318	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	2010001250	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	139000033	MEDICARE PIN	MISSOURI
2	1235460163	MEDICAID	ILLINOIS
3	1235460163	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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