Active NPI
Ashley Michelle Eaton, FNP-C
- Family Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1366094146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0994766-NP
- Practice address
- 2910 N Academy Blvd Ste 104
Colorado Springs, CO 80917-5351 - Phone
- (719) 888-9943
- Fax
- (719) 405-0504
- NPI assigned
- Jul 12, 2019
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | APN.0994766-NP | CO | |
| Gynecology Physician | 207VG0400X | APN.0994766-NP | CO | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | APN.0994766-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.0994766-NP | CO | Primary |
| Registered Nurse | 163W00000X | RN.0203588 | CO | |
| Cardiovascular Disease Physician | 207RC0000X | APN.0994766-NP | CO |
Addresses
Primary practice location
2910 N Academy Blvd Ste 104
Colorado Springs, CO 80917-5351
Mailing address
2910 N Academy Blvd Ste 104
Colorado Springs, CO 80917-5351
Phone (719) 888-9943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncrest Hospice LLC | Past | Accepting new patients | |
| Suncrest Hospice LLC | Past | Accepting new patients | |
| George J Juetersonke DO PC | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Allergy Physician
- Colorado Springs, CO
- NPI 1639234818
Endocrinology, Diabetes & Metabolism
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Denver, CO
- NPI 1043733934
-
- Community Based Hospice Care Agency
- Greenwood Village, CO
- NPI 1669767968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1366094146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N ACADEMY BLVD STE 104",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175351",
"telephone_number": "719-888-9943",
"fax_number": "719-405-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N ACADEMY BLVD STE 104",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175351",
"telephone_number": "719-888-9943",
"fax_number": "719-405-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "ASHLEY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CO",
"license": "APN.0994766-NP",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CO",
"license": "APN.0994766-NP",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CO",
"license": "APN.0994766-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0994766-NP",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.0203588",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "APN.0994766-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.