Individual provider Active NPI

Sandra Eddington, MSW X-07998

  • Counselor
  • Panama City Beach, FL
National Provider Identifier
1992043723
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
X-07998 Issued in NM
Practice address
2605 Thomas Dr Ste 210
Panama City Beach, FL 32408-6219
Phone
(907) 947-0270
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X X-07998 NM Primary

Addresses

Primary practice location

2605 Thomas Dr Ste 210
Panama City Beach, FL 32408-6219

Mailing address

1202 Baldwin Rowe Cir
Panama City, FL 32405-5894
Phone (907) 947-0270

Other practice location 1

501 24th St
Alamogordo, NM 88310-6103
Phone (575) 434-3011

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

LicenseStateTypeSpecialty
X-07998NMMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992043723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 BALDWIN ROWE CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055894",
            "telephone_number": "907-947-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 THOMAS DR STE 210",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324086219",
            "telephone_number": "907-947-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 24th St",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883106103",
            "country_code": "US",
            "telephone_number": "575-434-3011",
            "fax_number": "575-434-9588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDDINGTON",
        "first_name": "SANDRA",
        "credential": "MSW X-07998",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "X-07998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.