Individual provider Active NPI

Nikki Rae Easterling, M.ED., CDP, CC.DOULA

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1114368586
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00003766 Issued in WA
Practice address
703 W 7TH Ave
Suite 130
Spokane, WA 99204-2806
Phone
(509) 496-3143
Fax
(509) 276-6782
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00003766 WA Primary
Case Manager/Care Coordinator 171M00000X
Lactation Consultant (Non-RN) 174N00000X
Health Educator 174H00000X
Doula 374J00000X
Behavior Analyst 103K00000X
Professional Counselor 101YP2500X CL60426086 WA

Addresses

Primary practice location

703 W 7TH Ave
Suite 130
Spokane, WA 99204-2806

Mailing address

703 W 7TH Ave
Suite 130
Spokane, WA 99204-2806
Phone (509) 496-3143

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
Master of Education

State licenses

LicenseStateTypeSpecialty
CP00003766WAMDAddiction (Substance Use Disorder) Counselor
CL60426086WAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1114368586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W 7TH AVE",
            "address_2": "SUITE 130",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042806",
            "telephone_number": "509-496-3143",
            "fax_number": "509-276-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W 7TH AVE",
            "address_2": "SUITE 130",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042806",
            "telephone_number": "509-496-3143",
            "fax_number": "509-276-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLING",
        "first_name": "NIKKI",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "M.ED., CDP, CC.DOULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00003766",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "CL60426086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.