Mary D Eaton, MS.ED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

363207911 Issued in NY

Practice address

1 Rapp Road
Advanced Therapy P.L.L.C.
Albany, NY 12203

Phone

(518) 867-3062

NPI assigned

Oct 29, 2012

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

• Miss Mary D Farina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Advanced Therapy, P.L.L.C.

  • Early Intervention Provider Agency
  • Albany, NY
  • NPI 1396907697
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1194079269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RAPP ROAD",
            "address_2": "ADVANCED THERAPY, PLLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-867-3062",
            "fax_number": "518-867-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RAPP ROAD",
            "address_2": "ADVANCED THERAPY P.L.L.C.",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-867-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "MARY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MS.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "363207911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FARINA",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "MS.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitchell S Earleywine, PH.D.
• Early Childhood Education Center
• Early Childhood Education Center
• Carolyn Ann Eaton, M.D.
• Kimberly Allison Eaton, LMSW
• Katherine M Eberhardt, NP
• Lisa Ann Eberhardt, FNP-BC
• Ryan Craig Ebersole, PH.D.
• Erina Eccher, D.D.S.
• Echo Speech Therapy, PLLC

• Specialist in Albany, NY
• Providers in Albany, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.