Easee Health & Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

EASEE HEALTH & WELLNESS

Practice address

9 Eagle Ctr Ste 3
O Fallon, IL 62269-1948

Phone

(618) 737-9825

Fax

(314) 310-6398

NPI assigned

Apr 24, 2024

Last updated

Apr 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikasa L Crawford, FNPNPI 1316486160

Title

FNP

Phone

(618) 696-0772

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikasa L Crawford, FNP

  • Family Nurse Practitioner
  • Springfield, IL
  • NPI 1316486160
  NPD Authorized official

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1477309128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 W HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691941",
            "telephone_number": "618-696-0772",
            "fax_number": "314-310-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EAGLE CTR STE 3",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691948",
            "telephone_number": "618-737-9825",
            "fax_number": "314-310-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASEE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MIKASA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "618-696-0772",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.