Healthcare Provider Details

I. General information

NPI: 1235005976
Provider Name (Legal Business Name): RYLIE EDWARDS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 S ROGERS RD
OLATHE KS
66062-1706
US

IV. Provider business mailing address

40 W DARTMOUTH RD
KANSAS CITY MO
64113-2508
US

V. Phone/Fax

Practice location:
  • Phone: 913-764-2887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberTMP-163155
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: