Phillip Lynn Easton Sr., R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

41300529 Issued in IL

Practice address

1130 E Walnut St
Carbondale, IL 62901-5007

Phone

(618) 351-1031

Fax

(618) 351-1107

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1295446797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "TILDEN",
            "state": "IL",
            "postal_code": "622920076",
            "telephone_number": "618-443-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E WALNUT ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015007",
            "telephone_number": "618-351-1031",
            "fax_number": "618-351-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON",
        "first_name": "PHILLIP",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "41300529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otis James Duncan, MA
• Kristen Dunlap-Berg, LSW
• Gail Maclin Durkota, M.S., CCC-SLP
• Michael Robert Durr, D.M.D.
• E Claire Wellness
• Jannice Edmonson, NP
• Darren Scott Edson, MD
• Ella Caitlin Edwards, APN
• Richard Efem, MD
• Kaile Jean Eggemeyer

• Registered Nurse in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.