Andrew Easterly, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1709 Issued in LA

Practice address

801 Johnson St
Tallulah, LA 71282-4534

Phone

(318) 935-0899

Fax

(318) 493-5096

NPI assigned

May 14, 2014

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Easterly Enterprises LLC

  dba Louisiana Accident and Injury Care

  • Chiropractor
  • Tallulah, LA
  • NPI 1023855947
  Medicare reassignment NPD Authorized official
• JDH Management LLC

  dba Louisiana Accident & Injury Care

  • Chiropractor
  • West Monroe, LA
  • NPI 1083173470
  Medicare reassignment NPD

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1407267289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824534",
            "telephone_number": "318-935-0899",
            "fax_number": "318-493-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824534",
            "telephone_number": "318-935-0899",
            "fax_number": "318-493-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLY",
        "first_name": "ANDREW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2646753",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Jennifer N Boles, DDS,LLC
• Tammy Drake
• Delarriea Ari Emil Dunlap
• Kelly C Easterling, OTR/L
• Easterly Enterprises LLC (Louisiana Accident and Injury Care)
• Bethany Elkins
• Norma Epps, RAC
• Haley Erwin, FNP
• Ess of Tallulah, LLC
• Annette Evers

• Chiropractor in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.