Active NPI
Patrecia Elise Eaton, PA
- Medical Physician Assistant
- Harriman, TN
National Provider Identifier
1699704387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1137
- Practice address
- 2497 South Roane St
Ste 240
Harriman, TN 37748 - Phone
- (865) 590-0889
- Fax
- (865) 590-0884
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1137 | TN | Primary |
Addresses
Primary practice location
2497 South Roane St
Ste 240
Harriman, TN 37748
Mailing address
150 Long Rd
Kingston, TN 37763
Phone (865) 376-5807
Other names 1
- Patrecia Elise Eaton
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1137 | TN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne E. Tasker and Associates, Inc. | Medical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699704387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LONG RD",
"city": "KINGSTON",
"state": "TN",
"postal_code": "37763",
"telephone_number": "865-376-5807",
"fax_number": "865-590-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2497 SOUTH ROANE ST",
"address_2": "STE 240",
"city": "HARRIMAN",
"state": "TN",
"postal_code": "37748",
"telephone_number": "865-590-0889",
"fax_number": "865-590-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "PATRECIA",
"middle_name": "ELISE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRECIA",
"last_name": "EATON",
"middle_name": "ELISE",
"credential": "PA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Harriman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.