Individual provider Active NPI

George Joseph Eaglin, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1275572976
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2928172 Issued in FL
Practice address
7494-155TH PL. N.
West Palm Beach, FL 33418-7423
Phone
(561) 354-6526
NPI assigned
Jun 6, 2006
Last updated
Sep 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2928172 FL
Family Nurse Practitioner 363LF0000X ARNP2928172 FL Primary

Addresses

Primary practice location

7494-155TH PL. N.
West Palm Beach, FL 33418-7423

Mailing address

7494-155TH PL. N.
West Palm Beach, FL 33418-7423
Phone (561) 354-6526

Other identifiers 1

IdentifierTypeStateIssuer
ARNP2928172OtherFLLICENSE

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
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1275572976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7494-155TH PL. N.",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334187423",
            "telephone_number": "561-354-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7494-155TH PL. N.",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334187423",
            "telephone_number": "561-354-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLIN",
        "first_name": "GEORGE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2928172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2928172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP2928172",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.