Active NPI
Jill Colleen Eastep, RN
- School Registered Nurse
- Silver City, NM
National Provider Identifier
1063965085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R59175
- Practice address
- 2810 N Swan St
Silver City, NM 88061-5853 - Phone
- (575) 956-2172
- Fax
- (575) 956-2182
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R59175 | NM | Primary |
Addresses
Primary practice location
2810 N Swan St
Silver City, NM 88061-5853
Mailing address
2810 N Swan St
Silver City, NM 88061-5853
Phone (575) 956-2172
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R59175 | NM | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1063965085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N SWAN ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615853",
"telephone_number": "575-956-2172",
"fax_number": "575-956-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 N SWAN ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880615853",
"telephone_number": "575-956-2172",
"fax_number": "575-956-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTEP",
"first_name": "JILL",
"middle_name": "COLLEEN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NM",
"license": "R59175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.