Cristina Lee Eddy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2205 Issued in WV

Practice address

1401 Sweetbrier Rd
Charleston, WV 25314-1908

Phone

(304) 444-5070

NPI assigned

Oct 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WV Asthma and Allergy Centers Inc 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• WV Asthma and Allergy Centers, Inc.

  • Allergy & Immunology Physician
  • Beckley, WV
  • NPI 1205011509

  WV

  Medicare reassignment Care Compare group
• WV Asthma and Allergy Centers, Inc.

  • Allergy & Immunology Physician
  • Logan, WV
  • NPI 1003091307
  NPD
• WV Asthma and Allergy Centers, Inc.

  • Allergy & Immunology Physician
  • Charleston, WV
  • NPI 1114005477
  NPD

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1285101147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SWEETBRIER RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141908",
            "telephone_number": "304-444-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SWEETBRIER RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141908",
            "telephone_number": "304-444-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "CRISTINA",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Ryan Eastwood, DC
• Whitney N. Eastwood, PA-C
• Renee Ecckles-Hardy
• John M Eckerd, M.D.
• Courtney Eckes
• Dawn Eddy
• Elizabeth Maree Eddy
• Jennifer Eddy
• David E Ede, MD
• Angela Edgerton

• All providers in Charleston, WV
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.