Individual provider Active NPI

Myrna Sue Eades

  • Specialist
  • Hobbs, NM
National Provider Identifier
1497748115
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
NONE REQUIRED Issued in NM
Practice address
1200 E Bender Blvd
Hobbs, NM 88240-2419
Phone
(505) 392-1063
Fax
(505) 392-7750
NPI assigned
Aug 28, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NONE REQUIREDNMMDSpecialist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NONE REQUIRED NM Primary

Addresses

NPPES NPI Registry

Primary practice location

1200 E Bender Blvd
Hobbs, NM 88240-2419

Mailing address

1200 E Bender Blvd
Hobbs, NM 88240-2419
Phone (505) 392-1063

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497748115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E BENDER BLVD",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402419",
            "telephone_number": "505-392-1063",
            "fax_number": "505-392-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E BENDER BLVD",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882402419",
            "telephone_number": "505-392-1063",
            "fax_number": "505-392-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADES",
        "first_name": "MYRNA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "NONE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.