Kimberly Anne Eagleton, N.P., R.N.C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

455845 Issued in TX

Practice address

209 N Bonnie Brae St
Suite 304
Denton, TX 76201-3708

Phone

(940) 898-1476

Fax

(940) 381-0188

NPI assigned

Jun 12, 2006

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1033151188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 AIRPORT FWY",
            "address_2": "SUITE 300",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807770",
            "telephone_number": "817-514-5200",
            "fax_number": "817-514-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N BONNIE BRAE ST",
            "address_2": "SUITE 304",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013708",
            "telephone_number": "940-898-1476",
            "fax_number": "940-381-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLETON",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "N.P., R.N.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "455845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Durbin
• John A. Durkin, O.T.R.
• DV Ops Denton LLC (Denton Village by PureHealth)
• Katyayan Dwivedi, MD
• Yvette Vernor Dye, DDS
• Katherine Marie East-Murray
• Shaharzade G Ebrahimi
• Brittany Leeann Eccles
• Bruce A Eckel, MD
• Rodgers L. Eckhart, MD

• Nurse Practitioner in Denton, TX
• Providers in Denton, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.