Active NPI
Eryn Preston, ARNP
- Pediatric Nurse Practitioner
- Rockledge, FL
National Provider Identifier
1053304055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP 9192390
- Practice address
- 134 S Woods Dr
Rockledge, FL 32955-3262 - Phone
- (321) 636-3066
- Fax
- (321) 636-2545
- NPI assigned
- Aug 24, 2005
- Last updated
- Mar 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP 9192390 | FL | Primary |
Addresses
Primary practice location
134 S Woods Dr
Rockledge, FL 32955-3262
Mailing address
134 S Woods Dr
Rockledge, FL 32955-3262
Phone (321) 636-3066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9192390 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Past | Accepting new patients |
Interoperability endpoints
- eryn.preston.1@8042.direct.athenahealth.com
Organizations & group practices 1
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1053304055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 S WOODS DR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553262",
"telephone_number": "321-636-3066",
"fax_number": "321-636-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 S WOODS DR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553262",
"telephone_number": "321-636-3066",
"fax_number": "321-636-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "ERYN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP 9192390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
- Premium Edge, LLC (Alura by Inspired Living)
- Brittany Pres
- Rosalind Prescott
- Presgar Imaging of Rockledge LLC (Open MRI of Rockledge)
- Andrea Ruth Press, OT, CHT
- Matthew M Price, RN, CCRN
- Priority House Calls LLC
- PS Chiropractic PC (dba/Wesley Chiropractic & Acupuncture)
- Publix Super Markets Inc (Publix Pharmacy #0784)
- Publix Super Markets Inc (Publix Pharmacy #1805)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.