Active NPI
Kara W Eaton, LPN
- Pediatric Clinical Nurse Specialist
- Ithaca, NY
National Provider Identifier
1497932313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- 255819-1
- Practice address
- 102 Westfield Dr
Ithaca, NY 14850-3111 - Phone
- (607) 277-7214
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | 255819-1 | NY | Primary |
Addresses
Primary practice location
102 Westfield Dr
Ithaca, NY 14850-3111
Mailing address
102 Westfield Dr
Ithaca, NY 14850-3111
Phone (607) 277-7214
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
| License | State | Type | Specialty |
|---|---|---|---|
| 255819-1 | NY | MD | Pediatric Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1497932313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WESTFIELD DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503111",
"telephone_number": "607-277-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WESTFIELD DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503111",
"telephone_number": "607-277-7214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "KARA",
"middle_name": "W",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "NY",
"license": "255819-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.