Individual provider Active NPI

Sally Lynne Easley, MSN

  • Family Nurse Practitioner
  • Quincy, CA
National Provider Identifier
1659086148
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018534 Issued in CA
Practice address
1065 Bucks Lake Rd
Quincy, CA 95971-9599
Phone
(530) 283-2121
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018534 CA Primary

Addresses

Primary practice location

1065 Bucks Lake Rd
Quincy, CA 95971-9599

Mailing address

1065 Bucks Lake Rd
Quincy, CA 95971-9599
Phone (530) 283-2121

Other identifiers 2

IdentifierTypeStateIssuer
95018534OtherCALICENSE NUMBER
95018534OtherCAFURNISHING NUMBER

Other names 1

  • Sally Lynne Drennon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address seasley@sierracounty.ca.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260608000437 CA Practitioner - Family Practice 7012350721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plumas District HospitalGroup PAC ID 8224930466, 40 clinicians

Practice addresses (Care Compare)

1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone (530) 283-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018534CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Medical Group Inc. Current Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1659086148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719599",
            "telephone_number": "530-283-2121",
            "fax_number": "530-283-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719599",
            "telephone_number": "530-283-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "SALLY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "95018534",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING NUMBER",
            "identifier": "95018534",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seasley@sierracounty.ca.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "seasley@sierracounty.ca.gov",
            "address_1": "202 Front St",
            "city": "Loyalton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961185752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "DRENNON",
            "middle_name": "LYNNE",
            "credential": "BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, CA

Sources for this page

Verify at the official NPI Registry.