ALLISON NICHOLE EDWARDS (RD) – Registered Dietitian, NPI 1710669486

ALLISON NICHOLE EDWARDS (RD) is a healthcare provider. based in Kirksville, Missouri. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. They hold a License No. 2023027814 (MO). The NPI Number for ALLISON NICHOLE EDWARDS (RD) is 1710669486

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON NICHOLE EDWARDS (RD)
NPI
1710669486
Phone
(660) 627-5757
Address
1416 CROWN DR
Enumeration Date
2 August 2023
Last Update Date
2 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
1456714096
Group Practice PAC ID
1658280805
Professional Enrollment ID
I20230829003683
Address ID
MO635010000KIPOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

113 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MO

Provider Addresses for ALLISON NICHOLE EDWARDS (RD)

  • 1416 CROWN DR

    KIRKSVILLE, MO 635012548

    Phone: (660) 627-5757

    Type: Mailing

  • 1506 CROWN DR

    KIRKSVILLE, MO 635012553

    Phone: (660) 627-4493

    Fax: (660) 627-4288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230829003683IRegistered Dietitian Or Nutrition ProfessionalMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658280805View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO
Nurse PractitionerKS
Nurse PractitionerMO
Registered Dietitian Or Nutrition ProfessionalMO
-MO
Family PracticeMO

Reviews

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Frequently asked questions

What identifier follows ALLISON NICHOLE EDWARDS (RD) across health systems?
The NPI 1710669486 uniquely identifies ALLISON NICHOLE EDWARDS (RD) in U.S. healthcare data.
Is ALLISON NICHOLE EDWARDS (RD)'s NPI status active today?
Active status means ALLISON NICHOLE EDWARDS (RD)'s NPI record is not deactivated in the public file.
What type of care does ALLISON NICHOLE EDWARDS (RD) provide?
ALLISON NICHOLE EDWARDS (RD)'s profile centers on Registered Dietitian. Clinical services aligned with this taxonomy classification.
Is ALLISON NICHOLE EDWARDS (RD) tied to Kirksville, Missouri?
If you are local to Kirksville, Missouri, ALLISON NICHOLE EDWARDS (RD) may be relevant to your search.
Can I export ALLISON NICHOLE EDWARDS (RD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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