Active NPI
Steven Eagon, MS-CCC-A
- Audiologist
- Brentwood, TN
National Provider Identifier
1659507622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0000001208
- Practice address
- 100 Westwood PL Ste 300
Brentwood, TN 37027-1033 - Phone
- (800) 432-7669
- Fax
- (405) 721-1555
- NPI assigned
- Jun 4, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A0000001208 | TN | Primary |
Addresses
Primary practice location
100 Westwood PL Ste 300
Brentwood, TN 37027-1033
Mailing address
100 Westwood PL Ste 300
Brentwood, TN 37027-1033
Phone (800) 432-7669
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 |
|---|---|---|---|
| A0000001208 | TN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1659507622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WESTWOOD PL STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271033",
"telephone_number": "800-432-7669",
"fax_number": "405-721-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WESTWOOD PL STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271033",
"telephone_number": "800-432-7669",
"fax_number": "405-721-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGON",
"first_name": "STEVEN",
"credential": "MS-CCC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "A0000001208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.