Individual provider Active NPI

Stephanie Ann Easton, FNP

  • Family Nurse Practitioner
  • Othello, WA
National Provider Identifier
1083964928
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61456246 Issued in WA
Practice address
1515 E Columbia St
Othello, WA 99344-1846
Phone
(509) 488-5256
Fax
(509) 488-9939
NPI assigned
Sep 19, 2012
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 117358-6830 LA
Family Nurse Practitioner 363LF0000X AP61456246 WA Primary

Addresses

Primary practice location

1515 E Columbia St
Othello, WA 99344-1846

Mailing address

1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256

Other practice location 1

3140 Florida Blvd
Baton Rouge, LA 70806-3757
Phone (225) 650-2000

Other identifiers 2

IdentifierTypeStateIssuer
2323814MedicaidLA
2286156MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130319000009 LA Practitioner - Nurse Practitioner 5890930044 Reassigns benefits to 5 organizations
I20150817000838 TX Practitioner - Nurse Practitioner 5890930044 Reassigns benefits to 2 organizations
I20240611002251 WA Practitioner - Nurse Practitioner 5890930044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1515 E Columbia St
Othello, WA 99344-1846
Phone 50948852568512

601 Government Way
Mattawa, WA 99349
Phone 50948852568512

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117358-6830LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 6, 2015 Accepting new patients
Concord Medical Group PLLC CurrentSince Jun 20, 2017 Accepting new patients
Columbia Basin Health Association Nurse Practitioner CurrentSince Jul 8, 2024 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Mar 22, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Louisiana Inc CurrentSince Mar 15, 2018 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Columbia Basin Health Association Current Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Aug 26, 2015 Accepting new patients
Columbia Basin Health Association CurrentSince Jul 8, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 20, 2017 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Current Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Mar 22, 2021 Accepting new patients
Foucher Emergency Group LLC Nurse Practitioner CurrentSince Feb 15, 2015 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Mar 18, 2016 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 6, 2015 Accepting new patients
Grosbeak Emergency Physicians LLC Past Accepting new patients
Carrington Health Center Past Accepting new patients

Locations

455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950

2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500

10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

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

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227

119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800

601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512

1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250

Interoperability endpoints

  • Direct secure messaging: stephanie.easton.p1@direct.rkmprimarycare.nextgenshare.com

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 1

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1083964928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E COLUMBIA ST",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441846",
            "telephone_number": "509-488-5256",
            "fax_number": "509-488-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E COLUMBIA ST",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441846",
            "telephone_number": "509-488-5256",
            "fax_number": "509-488-9939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 Florida Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063757",
            "country_code": "US",
            "telephone_number": "225-650-2000",
            "fax_number": "225-650-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTON",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "117358-6830",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61456246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2323814",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2286156",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Othello, WA

Sources for this page

Verify at the official NPI Registry.