Active NPI
Jennifer L Eaton, M.D.
- Emergency Medicine Physician
- Rockville, MD
National Provider Identifier
1225069636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D66947
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D66947 | Other | MD | MD MEDICAL LICENSE |
| 5903900 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D66947 | MD | MD | Emergency Medicine Physician |
| 200600750 | NC | MD | Emergency 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.