Eden Desiree Etcheverria, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

307132 Issued in LA

Practice address

1115 Weber St
Franklin, LA 70538-4124

Phone

(337) 828-2550

Fax

(337) 355-2332

NPI assigned

Sep 5, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 LA

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myers Dermatology LLCGroup PAC ID 3971645367, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
• Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eetcheverria.live@jmyers.emadirect.md

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.

• Myers Dermatology LLC

  • Dermatology Physician
  • Youngsville, LA
  • NPI 1114255965
  Medicare reassignment Care Compare group
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Carencro, LA
  • NPI 1669774923
  NPD
• Myers Dermatology LLC

  • Community/Retail Pharmacy
  • Youngsville, LA
  • NPI 1467310755
  NPD (past)

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

• Abbeville General Hospital

  • Rural Acute Care Hospital
  • Abbeville, LA
  • NPI 1255300414
  Care Compare affiliation
• Hospital Service District No 1 of Iberia Parish

  dba Iberia Medical Center

  • Rehabilitation Hospital Unit
  • New Iberia, LA
  • NPI 1992159925
  Care Compare affiliation
• Hospital Service District No. 1 of Iberia Parish

  dba Iberia Medical Center

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1285601088
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801314315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETCHEVERRIA",
        "first_name": "EDEN",
        "middle_name": "DESIREE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "307132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quasonya Dorsey
• Edie D Duhon
• Baley Marie Durocher
• Cole Edwards
• Paul N Egwim, PHARMD
• Darrell Ray Everhart, DC
• Jennifer C Fabre, ANP
• Laura Faucheux, RDN, LDN
• Ferguson Abundant Living Pca LLC
• Ferguson Abundant Living Transportation LLC

• Physician Assistant in Franklin, LA
• Providers in Franklin, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.