Eden Marie Patterson, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F02220526 Issued in UT

Practice address

34684 Yale Dr
Yucaipa, CA 92399-6874

Phone

(909) 654-9558

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1821745399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34684 YALE DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34684 YALE DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996874",
            "telephone_number": "909-654-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "EDEN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F02220526",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "F02220526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaleh M Parrish
• Zoe Lauren Parsons
• Khushali Patel, PHARMD
• Ariana Patterson, PTA
• Cezanne Mimi Patterson
• Leticia Peacock
• Hanna Linnette Pelcastre Espinosa
• Sharon Lee Pendola, LVN
• Michael Paul Penna, RN
• Jaelynn Kathleen Perez

• Nurse Practitioner in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.