Active NPI
Kimberly Eatmon
- Addiction (Substance Use Disorder) Counselor
- Wilson, NC
National Provider Identifier
1598019242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2883
- Practice address
- 608 Nash St W
Wilson, NC 27893-3045 - Phone
- (252) 291-2200
- NPI assigned
- Nov 2, 2012
- Last updated
- Nov 2, 2012
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2883 | NC | Primary |
Addresses
Primary practice location
608 Nash St W
Wilson, NC 27893-3045
Mailing address
PO Box 1261
Fayetteville, NC 28302-1261
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 |
|---|---|---|---|
| 2883 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1598019242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1261",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283021261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NASH ST W",
"city": "WILSON",
"state": "NC",
"postal_code": "278933045",
"telephone_number": "252-291-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATMON",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- Eastern Monitoring Inc
- Eastern NC School for the Deaf
- Eastern North Carolina Medical Group, PLLC
- Eastern North Carolina School for the Deaf
- Eastern Pulmonary & Sleep Medicine
- Beverly Eaton, LCSW
- Ebk Healthcare Services, PLLC
- Eckerd Corporation (Rite Aid Pharmacy 11424)
- Eckerd Corporation (Rite Aid Pharmacy 11425)
- Edc Drug Stores Inc (Rite Aid Pharmacy 11426)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.