Active NPI
Tracey Eagleeye
- Peer Specialist
- Thornville, OH
National Provider Identifier
1871180778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 14882 State Route 13
Thornville, OH 43076-8954 - Phone
- (740) 242-2300
- NPI assigned
- Dec 26, 2020
- Last updated
- Dec 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OH | Primary |
Addresses
Primary practice location
14882 State Route 13
Thornville, OH 43076-8954
Mailing address
PO Box 894
Cambridge, OH 43725-0894
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@eaglehealthworks.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608940800000",
"number": "1871180778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 894",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437250894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14882 STATE ROUTE 13",
"city": "THORNVILLE",
"state": "OH",
"postal_code": "430768954",
"telephone_number": "740-242-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLEEYE",
"first_name": "TRACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-26",
"last_updated": "2020-12-26",
"certification_date": "2020-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@eaglehealthworks.com",
"affiliation": "N",
"endpointDescription": "Clinic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14882 State Route 13",
"city": "Thornville",
"state": "OH",
"country_code": "US",
"postal_code": "430768954",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Thornville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.