Organization Active NPI

Ekstroms Nursing, LLC

  • Skilled Nursing Facility
  • Gillette, WY
National Provider Identifier
1104169945
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
28967 Issued in WY
Legal business name
EKSTROMS NURSING, LLC
Practice address
111 Lewis Rd
Gillette, WY 82718-8847
Phone
(605) 390-8970
NPI assigned
Mar 29, 2013
Last updated
Mar 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Mrs. Brooke Lee Ekstrom, RN
Title
Registered Nurse
Phone
(605) 390-8970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 28967 WY Primary

Addresses

Primary practice location

111 Lewis Rd
Gillette, WY 82718-8847

Mailing address

111 Lewis Rd
Gillette, WY 82718-8847
Phone (605) 390-8970

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1104169945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LEWIS RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827188847",
            "telephone_number": "605-390-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LEWIS RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827188847",
            "telephone_number": "605-390-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKSTROMS NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "EKSTROM",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "605-390-8970",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WY",
            "license": "28967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.