Individual provider Active NPI

Alan C Eddison, ARNP

  • Adult Health Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1134560352
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9178001 Issued in FL
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

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131101000528 FL Practitioner - Nurse Practitioner 3375778111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9178001FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Partners PL CurrentSince Nov 22, 2016 Accepting new patients
P&O Pediatric and Fetal Cardiology and Wellness LLC PastSince Aug 4, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.