Erica Danielle Eidson

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

114 Bellamy Ave
Surgoinsville, TN 37873-2700

Phone

(423) 345-0333

Fax

(423) 345-0336

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1902534100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BELLAMY AVE",
            "city": "SURGOINSVILLE",
            "state": "TN",
            "postal_code": "378732700",
            "telephone_number": "423-345-0333",
            "fax_number": "423-345-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BELLAMY AVE",
            "city": "SURGOINSVILLE",
            "state": "TN",
            "postal_code": "378732700",
            "telephone_number": "423-345-0333",
            "fax_number": "423-345-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDSON",
        "first_name": "ERICA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bise, PLLC (Surgoinsville Pharmacy)
• Bise, PLLC (Surgoinsville Pharmacy)
• Bise, PLLC (Surgoinsville Pharmacy)
• Jessie Lyons Brown, PT
• Beth Bryan, PHARMD
• Olisa Jean Horton, MS, CCC-SLP
• Ronald D James, DDS
• Melvin Blaine Jones III, MD
• Lauren Morgan, NP
• McKenzie Suzanne Payne, PHARMD

• Health & Wellness Coach in Surgoinsville, TN
• Providers in Surgoinsville, TN by specialty
• Health & Wellness Coach in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.