Rebecca R Eaton, P.A. – Medical Physician Assistant

Key facts

NPI: 1245317932
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
Practice address: 264 New Shackle Island Rd
Hendersonville, TN 37075-2480
Phone: (615) 824-4244
Fax: (615) 824-5916
NPI assigned: Nov 1, 2006
Sex: Female
Sole proprietor: No

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.

Medical Observation Services LLC Emergency Medicine Physician · Cookeville, TN · NPI 1669734877

NPD (past)
Volunteer Medical Group, P.C. Emergency Medicine Physician · Cookeville, TN · NPI 1801886999

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Medical Observation Services LLC		Past	Accepting new patients
Volunteer Medical Group, P.C.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X			Yes

Addresses

Primary practice location

264 New Shackle Island Rd
Hendersonville, TN 37075-2480

Mailing address

264 New Shackle Island Rd
Hendersonville, TN 37075-2480
Phone (615) 824-4244

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2012.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1245317932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752480",
            "telephone_number": "615-824-4244",
            "fax_number": "615-824-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752480",
            "telephone_number": "615-824-4244",
            "fax_number": "615-824-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "REBECCA",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

All providers in Hendersonville, TN · Medical Physician Assistant in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.