Active NPI
Nancy F Easterling, CFNP
- Nurse Practitioner
- Columbia, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R629626
- Practice address
- 914 Sumrall Rd
Columbia, MS 39429-2652 - Phone
- (601) 731-1470
- Fax
- (601) 731-1474
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R629626 | MS | Primary |
Addresses
Primary practice location
914 Sumrall Rd
Columbia, MS 39429-2652
Mailing address
914 Sumrall Rd
Columbia, MS 39429-2652
Phone (601) 731-1470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117189 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
914 Sumrall Rd
Columbia, MS 39429-2652
Phone (601) 731-1470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R629626 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Clinic of Columbia, P.a. | Current | Accepting new patients |
Locations
914 Sumrall Rd
Columbia, MS 39429
Phone (601) 731-1470
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Columbia, MS
- NPI 1205858263
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Forrest General Home Care of Marion General
- Home Health Agency
- Columbia, MS
- NPI 1417229055
-
dba Marion General Hospital
- General Acute Care Hospital
- Columbia, MS
- NPI 1427320993
-
dba Enhabit Home Health & Hospice
- Home Health Agency
- Hattiesburg, MS
- NPI 1760416754
-
dba Deaconess HomeCare
- Home Health Agency
- Laurel, MS
- NPI 1326039470
-
- Home Health Agency
- McComb, MS
- NPI 1255401642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568486124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 SUMRALL RD",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394292652",
"telephone_number": "601-731-1470",
"fax_number": "601-731-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 SUMRALL RD",
"city": "COLUMBIA",
"state": "MS",
"postal_code": "394292652",
"telephone_number": "601-731-1470",
"fax_number": "601-731-1474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERLING",
"first_name": "NANCY",
"middle_name": "F",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R629626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00117189",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MS
- Omega Dillon
- Dr Michael S. Zaleski (Total Foot Care Clinic, LLC)
- Rene F Dungan, SLP
- Dynamic Columbia Operating Company LLC (Columbia Health & Rehab)
- Kerry M Easterling Sr., R.PH.
- Lydia Echols
- Agnes Emerle, MD
- Encore Rehabilitation Inc (Encore Rehab of Columbia)
- Family Health Care Clinic, Inc.
- Family Health Care Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.