Individual provider Active NPI

John Easterly

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1043795339
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10067 Issued in LA
Practice address
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone
(985) 230-1369
NPI assigned
Oct 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10067 LA Primary

Addresses

Primary practice location

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

Mailing address

15790 Paul Vega Dr
Hammond, LA 70403-1434
Phone (985) 230-1683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205003004 LA Practitioner - Nurse Practitioner 2567706385 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Tammany Emergency Physicians Group LLCGroup PAC ID 7214255967, 41 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, shared by 7 NPIs, 317 clinicians
North Oaks Physician Group LLCGroup PAC ID 9133378870, 62 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

15813 Paul Vega MD Dr
Suite 201
Hammond, LA 70403-1431
Phone (985) 230-7440

530 W Pine St
1 North Oaks Urgent Care Ponch
Ponchatoula, LA 70454-3780
Phone (985) 370-5656

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10067LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC CurrentSince Nov 25, 2018 Accepting new patients
Riverside Emergency Physician Partners LLC CurrentSince Dec 1, 2018 Accepting new patients
North Oaks Medical Center, LLC CurrentSince May 30, 2025 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Dec 3, 2020 Accepting new patients
Washington Parish Emergency Physicians Group LLC CurrentSince Dec 1, 2018 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

14158 University Ave
Hammond, LA 70401
Phone (985) 230-5640

1900 S Morrison Blvd
Hammond, LA 70403
Phone (985) 230-1682

42205 Veterans Ave
Hammond, LA 70403
Phone (985) 230-5630

2929 Highway 190
Mandeville, LA 70471
Phone (985) 773-1550

530 W Pine St
Ste 1
Ponchatoula, LA 70454
Phone (985) 370-5656

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

28050 Walker Rd S
Ste L
Walker, LA 70785
Phone (225) 664-2111

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1043795339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLY",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.