Individual provider Active NPI

Heather Eaton

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1457801987
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8360-C Issued in NV
Practice address
1135 Terminal Way Ste 208B
Reno, NV 89502-2168
Phone
(775) 762-5548
NPI assigned
Oct 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 8360-C NV Primary

Addresses

Primary practice location

1135 Terminal Way Ste 208B
Reno, NV 89502-2168

Mailing address

1135 Terminal Way Ste 208B
Reno, NV 89502-2168
Phone (775) 762-5548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027002198 NV Practitioner - Clinical Social Worker 4587074885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitality UnlimitedGroup PAC ID 4688095078, 6 clinicians

Practice addresses (Care Compare)

215 Bluffs Ave
Suite 200
Elko, NV 89801-2465
Phone (775) 777-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8360-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Unlimited CurrentSince Jun 3, 2020 Accepting new patients
Vitality Unlimited CurrentSince Jan 1, 2024 Accepting new patients
Vitality Unlimited Current Accepting new patients
Vitality Unlimited CurrentSince Jun 3, 2020 Accepting new patients

Locations

900 E Long St
Ste 201
Carson City, NV 89706
Phone (725) 461-0025

119 E Long St
Carson City, NV 89706
Phone (775) 461-0025

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

215 Bluffs Ave
Ste 200
Elko, NV 89801
Phone (775) 738-2925

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

1135 Terminal Way
Ste 112
Reno, NV 89502
Phone (775) 322-3668

1135 Terminal Way
Ste 208B
Reno, NV 89502
Phone (775) 322-3668

Organizations & group practices 4

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": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1457801987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 TERMINAL WAY STE 208B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022168",
            "telephone_number": "775-762-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 TERMINAL WAY STE 208B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022168",
            "telephone_number": "775-762-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8360-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.