Tara Eadie

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119007149 Issued in VA

Practice address

2405 Fort Eustis Blvd
Yorktown, VA 23692-4163

Phone

(757) 898-3746

NPI assigned

Jan 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Cargill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1124565080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16266 SMITHFIELD HEIGHTS DR",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234307056",
            "telephone_number": "201-303-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 FORT EUSTIS BLVD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924163",
            "telephone_number": "757-898-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADIE",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "CARGILL",
            "credential": "O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacquelyn Sandra Drumov, MA,MA
• Eduardo Duran Jr., LMT
• Rusty Rivera Duran, APRN-C, PMHNP-BC
• Louis John Durkac, MD
• Lillian Dye
• Danielle Weinstein Earehart, OT
• Eckerd Corporation
• Michelle Marie Edwards, LPC
• Elder Insight, PLLC
• Anne Hawthorne Eliason, MD

• Occupational Therapist in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.