Patricia A Eagleson, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP008327 Issued in PA

Practice address

1086 Franklin St
Good Samaritan BLDG., Ground Floor
Johnstown, PA 15905-4305

Phone

(814) 539-8725

Fax

(814) 539-3906

NPI assigned

Nov 17, 2005

Last updated

Oct 17, 2014By 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

State licenses

Practice roles

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.

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1063494896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "address_2": "GOOD SAMARITAN BLDG., GROUND FLOOR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-539-8725",
            "fax_number": "814-539-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLESON",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Witmer Dunmore, MD
• Tammy Dunn, DNP
• Ryan Patrick Dunne, PSY.D.
• Matthew Duray, DC
• Daniel Joseph Duvall
• Ear Nose and Throat Associates of Johnstown, Inc.
• Heidi Beth Earhart, NCC
• East Hills Ambulance, Inc
• Easter Seals Western and Central Pennsylvania (Easter Seals Western Pennsylvania)
• Jamie Eckenrod, CRNP

• Nurse Practitioner in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.