Active NPI
Kelli E Eatman, RRT
- Registered Respiratory Therapist
- Scotch Plains, NJ
National Provider Identifier
1942511423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 432A00429400
- Practice address
- 152 Spruce Mill LN
Scotch Plains, NJ 07076-3185 - Phone
- (732) 895-1165
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 432A00429400 | NJ | Primary |
Addresses
Primary practice location
152 Spruce Mill LN
Scotch Plains, NJ 07076-3185
Mailing address
152 Spruce Mill LN
Scotch Plains, NJ 07076-3185
Phone (732) 895-1165
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 432A00429400 | NJ | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1942511423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 SPRUCE MILL LN",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070763185",
"telephone_number": "732-895-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 SPRUCE MILL LN",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070763185",
"telephone_number": "732-895-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATMAN",
"first_name": "KELLI",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NJ",
"license": "432A00429400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.