Active NPI
Kathleen Eaton
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28174714A
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 338-1260
- NPI assigned
- Feb 22, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28174714A | IN | Primary |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
1250 N 1100 E
Sheridan, IN 46069-9034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170811000421 | IN | Practitioner - Nurse Practitioner | 2062783962 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Heartland Hospice Services, LLC | Current | Accepting new patients | |
| Mid-South Home Care Services, LLC | Current | Accepting new patients | |
| Heartland Hospice Services LLC | Current | Accepting new patients | |
| Heartland Hospice Services LLC | Current | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Current | Accepting new patients | |
| Anew Palliative Care LLC | Current | Accepting new patients |
Locations
1315 Directors Row
Ste 210
Fort Wayne, IN 46808
Phone (260) 484-6818
9775 Crosspoint Blvd
Ste 118
Indianapolis, IN 46256
Phone (317) 381-0095
3001 S Valley Ave
Marion, IN 46953
Phone (317) 251-3012
8549 Madison Ave
Southport, IN 46227
Phone (317) 881-9164
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
L2540
Columbus, OH 43260
L4056
Columbus, OH 43260
Organizations & group practices 7
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.
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1023061686
IN
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1699463299
IN
-
- Nursing Care Agency
- Indianapolis, IN
- NPI 1881325967
-
- Community Based Hospice Care Agency
- Ft Wayne, IN
- NPI 1851343768
-
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Beltsville, MD
- NPI 1902545270
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alpharetta, GA
- NPI 1154207769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1730628868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 N 1100 E",
"city": "SHERIDAN",
"state": "IN",
"postal_code": "460699034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "317-338-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28174714A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.