Julie Eaker, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

51928 Issued in CA

Practice address

500 Trinity Lakes Blvd, Suite 2969
31660 State Highway 3
Weaverville, CA 96093-2969

Phone

(530) 623-6777

NPI assigned

Sep 18, 2014

Last updated

May 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redding Rancheria

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1104859354
  Medicare reassignment NPD
• Redding Rancheria

  dba Redding Rancheria Center for Advanced Care

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1780423244
  NPD
• Mountain Communities Healthcare Dist

  dba Trinity Community Health Clinic

  • Rural Health Clinic/Center
  • Weaverville, CA
  • NPI 1356422307
  NPD (past)
• Mountain Communities Healthcare District

  dba Trinity Hospital

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  NPD (past)
• Trinity Alps Medical Group

  • Cardiovascular Disease Physician
  • Weaverville, CA
  • NPI 1588747133
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1689076937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MAIN ST",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960932460",
            "telephone_number": "530-623-3735",
            "fax_number": "530-623-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TRINITY LAKES BLVD, SUITE 2969",
            "address_2": "31660 STATE HIGHWAY 3",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960932969",
            "telephone_number": "530-623-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKER",
        "first_name": "JULIE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis L Harman LMFT
• Yoni Lee Desmond, CAS
• Timothy Dobbs
• Donald E. Krouse, M.D., Inc
• Tuee Duong
• Henry Edelstein, M.D.
• Sara Edwards
• Sandra Lee Ekman
• Felice Ann Elias, L.AC.
• Richard Elorriaga, BA

• Physician Assistant in Weaverville, CA
• Providers in Weaverville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.