Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013339688 Individual Practitioner Male Practitioner

Andre Lamar Edwards , NP

Registered Nurse • Marina, CA

Professional Overview & Biography Verified Profile Summary

Andre Edwards, NP is a registered healthcare professional specializing in Registered Nurse in Marina, CA. Practice services are available at 201 9TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 9th St

Marina, CA 939336039

Telephone 8388841166
Fax 8318841002
Associated Practice Facility / Clinic
🏢 Palo Alto Vamc Facility NPI 1134162688

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Marina, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Marina, CA (13888 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-03
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License CA 641257

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
NPF22262 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Cynthia Hopkins , RN

Registered Nurse

NPI 1104646975

Registered Nurse

Richard Vattuone , LCSW

Social Worker - Clinical

NPI 1821556655

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 03, 2026

Registered at 201 9TH ST, MARINA, CA 939336039 (Tel: 8388841166)

📍
Updated Business Mailing Address April 03, 2026

Registered at 201 9TH ST, MARINA, CA 939336039 (Tel: 8318841166)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2026

Registered Nurse (License #641257 in CA)

NPI Profile Active January 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2014

Registered at 1111 EXPOSITION BLVD, SUITE 700, SACRAMENTO, CA 958154314 (Tel: 9167363399)

📍
Updated Business Mailing Address January 17, 2014

Registered at 1111 EXPOSITION BLVD, SUITE 700, SACRAMENTO, CA 958154314 (Tel: 9167363399)

👤
Provider Name / Credentials Updated January 17, 2014

Recorded as ANDRE EDWARDS, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2014

Nurse Practitioner (License #NPF22262 in CA)

🟢
Initial NPI Registration & Enumeration January 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013339688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2014
Last Update: April 03, 2026
Sole Proprietor: No

Mailing Address

201 9th St

Marina, CA 939336039

Phone: 8318841166

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.