Active NPI
Megan Dawn Eppens, FNP-BC
- Family Nurse Practitioner
- Prescott Valley, AZ
National Provider Identifier
1316243447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8766
- Practice address
- 7700 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314-2245 - Phone
- (928) 442-8710
- Fax
- (928) 442-8742
- NPI assigned
- Feb 8, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP8766 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | 2011003374 | MO |
Addresses
Primary practice location
7700 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314-2245
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (928) 759-5987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011003374 | Other | MO | STATE LICENSE |
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": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1316243447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10880",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863040880",
"telephone_number": "928-759-5987",
"fax_number": "928-458-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 E FLORENTINE RD",
"address_2": "STE 101",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142245",
"telephone_number": "928-442-8710",
"fax_number": "928-442-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPENS",
"first_name": "MEGAN",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP8766",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011003374",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2011003374",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.