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KIMBERLY EDWARDS
NPI 1619672490
Student in an Organized Health Care Education/Training Program in Chesterfield, MO

Active since April 03, 2023PECOS Enrolled
17417 CHESTERFIELD AIRPORT RD, CHESTERFIELD, MO 63005(636) 685-7724(314) 590-5914 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Edwards NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY EDWARDS (NPI 1619672490) is an individual student in an organized health care education/training program in Chesterfield, Missouri and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1619672490
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY EDWARDS
Location Address17417 CHESTERFIELD AIRPORT RDChesterfield, MO 63005-1308
Mailing Address5177 Mccarty LnLafayette, IN 47905-8764 · (765) 448-8100
Phone(636) 685-7724
Fax(314) 590-5914
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1619672490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17417 CHESTERFIELD AIRPORT RD, Chesterfield, MO 63005
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Secondary Practice Location 1

Location 15177 McCarty LnLafayette, IN 47905-8764 · Phone (765) 448-8100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Edwards is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEGHAN HENNINGSEN D.O.
Family Medicine
17417 CHESTERFIELD AIRPORT RD
CHESTERFIELD, MO 63005
St. Louis County (366) 857-7246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Edwards's NPI number?

The NPI number for Kimberly Edwards is 1619672490. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Kimberly Edwards located?

Kimberly Edwards practices at 17417 Chesterfield Airport Rd, Chesterfield, MO 63005. The listed phone number is (636) 685-7724.

What is Kimberly Edwards's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimberly Edwards enrolled in Medicare?

Yes. Kimberly Edwards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Edwards was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.