Individual provider Active NPI

Mildred Anne Eastwood, FNP APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1730872052
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018854 Issued in KY
Practice address
1661 Margate Dr
Lexington, KY 40505-2624
Phone
(859) 608-2943
Fax
(859) 226-7052
NPI assigned
Jun 1, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3018854 KY Primary

Addresses

Primary practice location

1661 Margate Dr
Lexington, KY 40505-2624

Mailing address

1661 Margate Dr
Lexington, KY 40505-2624
Phone (859) 608-2943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20240822002834 KY Practitioner - Nurse Practitioner 5991244964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Oxygen Care, LLCGroup PAC ID 6305209610, 2 clinicians

Practice addresses (Care Compare)

3499 Blazer Pkwy
Suite 35
Lexington, KY 40509-2798
Phone (859) 420-6362

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Oxygen Care, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

3499 Blazer Pkwy
Ste 35
Lexington, KY 40509
Phone (859) 420-6362

Interoperability endpoints

  • Direct secure messaging: mildred.eastwood.1@29981.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1730872052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 MARGATE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052624",
            "telephone_number": "859-608-2943",
            "fax_number": "859-226-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 MARGATE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052624",
            "telephone_number": "859-608-2943",
            "fax_number": "859-226-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTWOOD",
        "first_name": "MILDRED",
        "middle_name": "ANNE",
        "credential": "FNP APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.