Individual provider Active NPI

Eric Caron, MSN, APN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1174554307
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12124 Issued in TN
Practice address
262 Danny Thomas Place, Mail Stop 735
St. Jude Children'S Research Hospital
Memphis, TN 38105-2794
Phone
(901) 595-5506
Fax
(901) 595-5845
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12124 TN Primary

Addresses

Primary practice location

262 Danny Thomas Place, Mail Stop 735
St. Jude Children'S Research Hospital
Memphis, TN 38105-2794

Mailing address

262 Danny Thomas Place, Mail Stop 735
St. Jude Children'S Research Hospital
Memphis, TN 38105-2794
Phone (901) 595-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
12124TNMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1174554307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PLACE, MAIL STOP 735",
            "address_2": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052794",
            "telephone_number": "901-595-5506",
            "fax_number": "901-595-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 DANNY THOMAS PLACE, MAIL STOP 735",
            "address_2": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052794",
            "telephone_number": "901-595-5506",
            "fax_number": "901-595-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "ERIC",
        "credential": "MSN, APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.