Christian Eastlake

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

APN.0994988-CNS Issued in CO

Practice address

1400 E Boulder St
Colorado Springs, CO 80909-5533

Phone

(719) 365-2490

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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 and National Provider Directory roles.

• Uch-MHS

  • General Acute Care Hospital
  • Colorado Springs, CO
  • NPI 1538958400
  NPD
• Uch-MHS

  dba UCHealth Lifeline

  • Ambulance
  • Colorado Springs, CO
  • NPI 1417512559
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1518507748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 COOPER RIVER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 Briargate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207815",
            "country_code": "US",
            "telephone_number": "719-365-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTLAKE",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CO",
            "license": "APN.0994988-CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted E Eastburn, M.D.
• Easter Seals Southern Colorado
• Amanda Politte Easter, RN
• Carole Easter
• Mallory J Easter, PA-C
• Christopher W Eastman
• Sarah Eastman
• Natasha Eastmond
• Michelle Elizabeth Easton, FNP-C
• Eastside Express Pharmacy

• Clinical Nurse Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Nurse Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.