Individual provider Active NPI

Dana Easterwood, NP

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1376094201
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.386031 Issued in OH
Practice address
1221 Hayes Ave
Suite B
Sandusky, OH 44870-3345
Phone
(419) 557-6550
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN.386031 OH Primary

Addresses

Primary practice location

1221 Hayes Ave
Suite B
Sandusky, OH 44870-3345

Mailing address

1221 Hayes Ave
Suite B
Sandusky, OH 44870-3345

Other identifiers 1

IdentifierTypeStateIssuer
0213212MedicaidOH

Other names 1

  • Dana Valentine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170327000611 OH Practitioner - Nurse Practitioner 9032494471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

5420 Milan Rd
Suite C
Sandusky, OH 44870-5846
Phone (419) 557-6490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.386031OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Dec 18, 2017 Accepting new patients
North Coast Professional Company, LLC CurrentSince Dec 18, 2017 Accepting new patients
Firelands Regional Medical Center Past Accepting new patients

Locations

1470 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0700

348 Milan Ave
Ste 2
Norwalk, OH 44857
Phone (419) 663-0285

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1221 Hayes Ave
Ste F
Sandusky, OH 44870
Phone (419) 557-6550

1221 Hayes Ave
Ste B
Sandusky, OH 44870
Phone (419) 557-6550

5420 Milan Rd
Ste C
Sandusky, OH 44870
Phone (419) 557-6490

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: dana.easterwood@fpg.medicity.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1376094201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE",
            "address_2": "SUITE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE",
            "address_2": "SUITE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345",
            "telephone_number": "419-557-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERWOOD",
        "first_name": "DANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.386031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213212",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "VALENTINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.