Sean Eatherton, RN

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

License

2002016173 Issued in MO

Practice address

7435 Watson Rd
Saint Louis, MO 63119-4403

Phone

(314) 961-8180

NPI assigned

Dec 23, 2012

Last updated

Dec 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hypertension and Kidney Center of St. Louis, LLC

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1689088080
  NPD (past)

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

{
    "created_epoch": "1356220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356220800000",
    "number": "1356687131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6875 FOXCROFT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631231635",
            "telephone_number": "314-832-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194403",
            "telephone_number": "314-961-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATHERTON",
        "first_name": "SEAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-23",
        "last_updated": "2012-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "MO",
            "license": "2002016173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Louise Easter, BCBA
• Eastern Missouri Health Options
• Mary Jean Easterwood, RN
• Ashley J Eastman, LPC
• Kathleen Eastwood, CNM
• Eating Disorder Recovery Center (D. Kuehnel LCSW LLC)
• Adam Christopher Eaton, MD
• Jill Marie Eaton, RN
• Leann E Eaton, MSN,APRN,BC
• Royal J Eaton, M.D.

• Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2012; 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.