Active NPI
Alan C Eddison, ARNP
- Adult Health Nurse Practitioner
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9178001
- Practice address
- 3044 SE Orange Tree PL
Stuart, FL 34997-8518 - Phone
- (561) 632-0149
- NPI assigned
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9178001 | FL | Primary |
Addresses
Primary practice location
3044 SE Orange Tree PL
Stuart, FL 34997-8518
Mailing address
3044 SE Orange Tree PL
Stuart, FL 34997-8518
Phone (561) 632-0149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9178001 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Partners PL | Current | Accepting new patients | |
| P&O Pediatric and Fetal Cardiology and Wellness LLC | Past | Accepting new patients |
Locations
532 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3021
11786 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 546-4215
3345 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 622-4900
3347 S State Road 7
Ste 203
Wellington, FL 33449
Phone (561) 793-1974
Interoperability endpoints
- kathlyn.brooks@cppl.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Wellington, FL
- NPI 1518978626
-
- Pediatric Cardiology Physician
- Port St Lucie, FL
- NPI 1528898905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1134560352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3044 SE ORANGE TREE PL",
"city": "STUART",
"state": "FL",
"postal_code": "349978518",
"telephone_number": "561-632-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 SE ORANGE TREE PL",
"city": "STUART",
"state": "FL",
"postal_code": "349978518",
"telephone_number": "561-632-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDISON",
"first_name": "ALAN",
"middle_name": "C",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9178001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.