WENDY D EATON (NPI# 1073815999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073815999 |
Entity Type | Individual |
Full Name | WENDY D EATON |
Credential | CFTS |
Practice Address |
2150 N Ocoee St Cleveland TN 37311-3936 |
Mailing Address |
3700 Brainerd Rd Chattanooga TN 37411-3603 |
Practice Telephone | 4235590013 |
Practice Fax Number | 4235592442 |
Mailing Telephone | 4236970057 |
Mailing Fax Number | 4236489366 |
Enumeration Date | 2010-11-29 |
Last Update Date | 2010-11-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225000000X | Orthotic Fitter | CFTS1106 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1455062 | 05 | |
GA | 000973794C | 05 | |
GA | 000973794E | 05 | |
TN | 1507472 | 05 | |
GA | 000973794D | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972067221 | Wendy L Eaton | Registered Nurse | 135 N Union St, Olean, NY 14760-2736 | 2019-01-30 |
1457559940 | Wendy Marie Eaton | Physical Therapist | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2007-07-05 |
1598787418 | Wendy Eaton | Physician Assistant | 599 W State St, Sutie 200, Doylestown, PA 18901-2567 | 2006-07-24 |
Street Address |
2150 N OCOEE ST |
City | CLEVELAND |
State | TN |
Zip Code | 37311-3936 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962401760 | Jerry Glynn Newman Jr. | Psychiatry & Neurology | 2150 N Ocoee St, Cleveland, TN 37311-3919 | 2005-07-14 |
1083886295 | Lucas Boyd Queen | Counselor | 2150 N Ocoee St, Suite One, Cleveland, TN 37311-3936 | 2008-03-27 |
1720250020 | Patricia Elizabeth Conn | Counselor | 2150 N Ocoee St, Suite 1, Cleveland, TN 37311-3936 | 2008-03-26 |
1932371234 | Kenneth Allen Nope | Counselor | 2150 N Ocoee St, Suite1, Cleveland, TN 37311-3936 | 2008-03-26 |
1356527238 | Bradley Cleveland Services Inc. | Day Training, Developmentally Disabled Services | 2150 N Ocoee St, Suite 1, Cleveland, TN 37311-3936 | 2008-01-10 |
1578549531 | Vijai P. Sharma | Psychologist | 2150 N Ocoee St, Suite 1, Cleveland, TN 37311-3919 | 2005-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
Find all providers in zip 37311 |
Taxonomy Code | 225000000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotic Fitter |
An individual trained in the management of fitting prefabricated orthoses. |
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225679277 | Back Brace Supply LLC | Orthotic Fitter | 670 S White Station Rd, Memphis, TN 38117-4527 | 2019-10-01 |
1487962726 | Gary Kent Weaver Jr. | Orthotic Fitter | 348 Trane Dr, Knoxville, TN 37919-6052 | 2010-09-21 |
1609075621 | Bobijo Murphy | Orthotic Fitter | 1238 Nw Broad St, Murfreesboro, TN 37129-1713 | 2007-07-11 |
1548305501 | Norma Jean Johnson | Orthotic Fitter | 140 Lake Dr., Tiptonville, TN 38079-1359 | 2007-02-20 |
1598797045 | Breast Prostheses & Orthotics Inc | Orthotic Fitter | 1850 Edgemont Ave, Bristol, TN 37620-4309 | 2006-07-07 |
1336148808 | Diana Lynn Montgomery | Orthotic Fitter | 60 Long Ave, Parsons, TN 38363-2429 | 2005-07-18 |
1942780580 | Matthew D Stimson | Orthotic Fitter | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-08-14 |
1821274713 | Penny G Handmacher | Orthotic Fitter | 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2008-01-10 |
1942498712 | Scott Moore | Orthotic Fitter | 705 N 2nd St, Suite A, Clarksville, TN 37040-1917 | 2007-10-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.