Individual provider Active NPI

Ashley Michelle Eaton, FNP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1366094146
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994766-NP Issued in CO
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

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Suncrest Hospice LLC PastSince Apr 1, 2020 Accepting new patients
Suncrest Hospice LLC PastSince Apr 1, 2020 Accepting new patients
George J Juetersonke DO PC Endocrinology, Diabetes & Metabolism PastSince Feb 1, 2022 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.

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

Verify at the official NPI Registry.