Individual provider Active NPI

Jennifer L Eaton, M.D.

  • Emergency Medicine Physician
  • Rockville, MD
National Provider Identifier
1225069636
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D66947 Issued in MD
Practice address
Health Resources and Services Administration
5600 Fishers Lane
Rockville, MD 20857-0001
Phone
(919) 357-1891
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D66947 MD Primary
Emergency Medicine Physician 207P00000X NC

Addresses

Primary practice location

Health Resources and Services Administration
5600 Fishers Lane
Rockville, MD 20857-0001

Mailing address

Health Resources and Services Administration
5600 Fishers Lane
Rockville, MD 20857-0001
Phone (919) 357-1891

Other identifiers 2

IdentifierTypeStateIssuer
D66947OtherMDMD MEDICAL LICENSE
5903900MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D66947MDMDEmergency Medicine Physician
200600750NCMDEmergency Medicine Physician

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": "1678147200000",
    "number": "1225069636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEALTH RESOURCES AND SERVICES ADMINISTRATION",
            "address_2": "5600 FISHERS LANE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208570001",
            "telephone_number": "919-357-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTH RESOURCES AND SERVICES ADMINISTRATION",
            "address_2": "5600 FISHERS LANE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208570001",
            "telephone_number": "919-357-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D66947",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD MEDICAL LICENSE",
            "identifier": "D66947",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903900",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.