Active NPI
Donna Saunders Eastham
- Case Manager/Care Coordinator
- Berea, KY
National Provider Identifier
1639485261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 174400000X
- Practice address
- 246 Marcellus Dr
Berea, KY 40403-2078 - Phone
- (859) 626-2107
- Fax
- (859) 985-9401
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 174400000X | KY | Primary |
Addresses
Primary practice location
246 Marcellus Dr
Berea, KY 40403-2078
Mailing address
246 Marcellus Drive
Berea, KY 40403
Phone (859) 626-2107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174400000X | KY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1639485261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 MARCELLUS DRIVE",
"city": "BEREA",
"state": "KY",
"postal_code": "40403",
"telephone_number": "859-626-2107",
"fax_number": "859-985-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 MARCELLUS DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404032078",
"telephone_number": "859-626-2107",
"fax_number": "859-985-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTHAM",
"first_name": "DONNA",
"middle_name": "SAUNDERS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "KY",
"license": "174400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.