Ekstroms Nursing, LLC

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

Organization subpart

No

Name

Mrs. Brooke Lee Ekstrom, RN

Title

Registered Nurse

Phone

(605) 390-8970

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2013.

{
    "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": []
}

• Rebecca Jo Eden, ISC
• Rebecca Edwards, CRNA
• Suzan Tamesha Edwards, RN
• William Pell Egbert, MD
• Alphonse Eid
• Elevation Medical Imaging Gillette
• Employment Testing Services
• Deborah A Engel, PHARM D
• Nita R. Engineer, MD
• Brooke L England, PSY.D.

• All providers in Gillette, WY
• Skilled Nursing Facility in Wyoming

• 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.