Individual provider Active NPI

Brittany Nichole Eaton, NP

  • Nurse Practitioner
  • Eureka, MO
National Provider Identifier
1427713510
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2021008233 Issued in MO
Practice address
300 Forby Rd
Eureka, MO 63025-2321
Phone
(636) 938-5151
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2021008233 MO Primary

Addresses

Primary practice location

300 Forby Rd
Eureka, MO 63025-2321

Mailing address

PO Box 270653
Saint Louis, MO 63127-0653
Phone (149) 745-7253

Other practice location 1

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-7275

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021008233MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sreenu Ada,MD,PC CurrentSince Dec 3, 2021 Accepting new patients
Allergy and Asthma Consultants, PC Past Accepting new patients

Locations

1 Meramec Bluffs Dr
Ballwin, MO 63021
Phone (636) 861-0600

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

300 Forby Rd
Eureka, MO 63025
Phone (314) 766-2066

627 Westwood Dr S
Festus, MO 63028
Phone (636) 931-9066

10954 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 843-4242

10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412

4930 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 361-8700

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

Organizations & group practices 2

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1427713510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270653",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631270653",
            "telephone_number": "149-745-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FORBY RD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252321",
            "telephone_number": "636-938-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10018 Kennerly Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282106",
            "country_code": "US",
            "telephone_number": "314-525-7275",
            "fax_number": "636-333-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "BRITTANY",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021008233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

Verify at the official NPI Registry.