Active NPI
Cathy Sue Eaton-Hill, ARNP
- Primary Care Nurse Practitioner
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- ARNP9484884
- Practice address
- 500 Vonderburg Dr Ste 102E
Brandon, FL 33511 - Phone
- (813) 681-5658
- Fax
- (813) 681-5250
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9484884 | FL | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | RN076736NP | GA |
Addresses
Primary practice location
500 Vonderburg Dr Ste 102E
Brandon, FL 33511
Mailing address
500 Vonderburg Dr Ste 102E
Brandon, FL 33511-5968
Phone (813) 681-5658
Other practice location 1
4051 Upper Creek Dr Ste 112
Sun City Center, FL 33573-6825
Phone (813) 681-5658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762424450A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Vonderburg Dr
Suite 102
Brandon, FL 33511-5968
Phone (813) 681-5658
Hospital & facility affiliations
- HCA Florida South Shore Hospital
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN076736NP | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Medical Care of Brandon LLC | Current | Accepting new patients | |
| Team Radiology Physicians, PA | Past | Accepting new patients |
Locations
500 Vonderburg Dr
Ste 102
Brandon, FL 33511
Phone (813) 386-2547
500 Vonderburg Dr
Ste 102E
Brandon, FL 33511
Phone (813) 681-5658
4051 Upper Creek Dr
Ste 112
Sun City Center, FL 33573
Phone (813) 681-5658
Interoperability endpoints
- cathyeatonhill@cm.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Brandon, FL
- NPI 1124038989
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1932133675
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1831226414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR STE 102E",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115968",
"telephone_number": "813-681-5658",
"fax_number": "813-681-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR STE 102E",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "813-681-5658",
"fax_number": "813-681-5250"
}
],
"practiceLocations": [
{
"address_1": "4051 Upper Creek Dr Ste 112",
"address_purpose": "LOCATION",
"city": "Sun City Center",
"state": "FL",
"postal_code": "335736825",
"country_code": "US",
"telephone_number": "813-681-5658",
"fax_number": "813-681-5250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EATON-HILL",
"first_name": "CATHY",
"middle_name": "SUE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9484884",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN076736NP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762424450A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.