Active NPI
Stephanie Ann Easton, FNP
- Family Nurse Practitioner
- Othello, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61456246
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2323814 | Medicaid | LA | |
| 2286156 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117358-6830 | LA | MD | Family Nurse Practitioner |
Practice roles
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
- 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.
-
dba Eagle Eye Care
- Federally Qualified Health Center (FQHC)
- Connell, WA
- NPI 1528316379
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1871879007
Nurse Practitioner
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
dba Clinton Lower Health Center
- Federally Qualified Health Center (FQHC)
- Clinton, LA
- NPI 1821245127
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1396253407
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1891187654
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225716947
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Othello, WA
- NPI 1619915006
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
dba LaCreek District Clinic
- Clinic/Center
- Martin, SD
- NPI 1003208257
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Othello Community Hospital
- Critical Access Hospital
- Othello, WA
- NPI 1811108822
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.