Individual provider Active NPI

Carolynn Eastin, FNP-BC

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1386763019
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3319 Issued in AZ
Practice address
7435 W Cactus Rd # a-125
Peoria, AZ 85381-5300
Phone
(480) 677-8282
Fax
(844) 470-2777
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN132845 AZ
Family Nurse Practitioner 363LF0000X AP3319 AZ Primary

Addresses

Primary practice location

7435 W Cactus Rd # a-125
Peoria, AZ 85381-5300

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090724000710 AZ Practitioner - Nurse Practitioner 8729131677 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Absolute Rehabilitation and Pain Medicine PLLCGroup PAC ID 1759648835, 2 clinicians

Practice addresses (Care Compare)

7320 E Deer Valley Rd
Suite 100
Scottsdale, AZ 85255-7453
Phone (480) 502-0250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3319AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Jul 30, 2024 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 30, 2024 Accepting new patients
Ceb Capital LLC CurrentSince Jul 1, 2016 Accepting new patients
Absolute Rehabilitation and Pain Medicine PLLC Nurse Practitioner CurrentSince Oct 6, 2017 Accepting new patients
Puerto Sonora Internal Medicine CurrentSince Jan 23, 2023 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Jun 29, 2009 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Scottsdale Internal Medicine PLLC CurrentSince Jan 23, 2023 Accepting new patients
Ceb Capital LLC CurrentSince Jul 1, 2016 Accepting new patients
Beia'S Families PastSince Oct 1, 2020 Accepting new patients
Ati Holdings of Arizona, LLC Past Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

3546 S Power Rd
Ste 101
Gilbert, AZ 85234

7435 W Cactus Rd
Ste A125
Peoria, AZ 85381

4502 W Indian School Rd
Ste A3
Phoenix, AZ 85031
Phone (623) 247-0414

9150 W Indian School Rd
Ste 111B
Phoenix, AZ 85037
Phone (623) 247-2300

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

13840 N Northsight Blvd
Ste 121
Scottsdale, AZ 85260
Phone (480) 588-6924

7320 E Deer Valley Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 502-0250

4653 S Lakeshore Dr
Ste 3
Tempe, AZ 85282
Phone (480) 456-8981

Interoperability endpoints

  • Direct secure messaging: ceastin26599@mydrnow.gardenplot.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1386763019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 W CACTUS RD # A-125",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815300",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTIN",
        "first_name": "CAROLYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN132845",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.