Individual provider Active NPI

Victoria Lynn Easterday

  • Long-Term Care Clinical Nurse Specialist
  • Olivet, MI
National Provider Identifier
1659944148
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
License
4704289557 Issued in MI
Practice address
3973 W Bellevue Hwy
Olivet, MI 49076-9493
Phone
(517) 719-3880
Fax
(269) 280-5002
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long-Term Care Clinical Nurse Specialist 364SL0600X 4704289557 MI Primary

Addresses

Primary practice location

3973 W Bellevue Hwy
Olivet, MI 49076-9493

Mailing address

3973 W Bellevue Hwy
Olivet, MI 49076-9493
Phone (517) 719-3880

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

LicenseStateTypeSpecialty
4704289557MIMDLong-Term Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Home Health and Staffing, LLC CurrentSince Dec 6, 2022 Accepting new patients
Blue Heart Home Healthcare CurrentSince Oct 10, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1659944148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 W BELLEVUE HWY",
            "city": "OLIVET",
            "state": "MI",
            "postal_code": "490769493",
            "telephone_number": "517-719-3880",
            "fax_number": "269-280-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 W BELLEVUE HWY",
            "city": "OLIVET",
            "state": "MI",
            "postal_code": "490769493",
            "telephone_number": "517-719-3880",
            "fax_number": "269-280-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERDAY",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "MI",
            "license": "4704289557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivet, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.