Brenda Eagle

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

050190750108E Issued in AR

Practice address

20645 W Highway 62
Lincoln, AR 72744-8796

Phone

(479) 409-0214

NPI assigned

Dec 28, 2011

Last updated

Dec 28, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1801165345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727530202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20645 W HIGHWAY 62",
            "city": "LINCOLN",
            "state": "AR",
            "postal_code": "727448796",
            "telephone_number": "479-409-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AR",
            "license": "050190750108E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Beavers, D.D.S.,P.A.
• Daniel J. Beavers, D.D.S., P.a.
• Susan Portis Ferguson, M.D.
• Reba Mae Graupner, LCSW
• Harps Food Stores, Inc (HarpsPharmacy #179)
• Payton Hulse, DC
• Lincoln Wellness Center

• Home Health Aide in Lincoln, AR
• Providers in Lincoln, AR by specialty
• Home Health Aide in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.