Kristie Lachelle Easterwood, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2-057384 Issued in AL

Practice address

256 Lime Creek LN
Chelsea, AL 35043-5596

Phone

(256) 404-9884

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristie Lachelle Gholston Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1689240160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 LIME CREEK LN",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350435596",
            "telephone_number": "256-404-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 LIME CREEK LN",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350435596",
            "telephone_number": "256-404-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERWOOD",
        "first_name": "KRISTIE",
        "middle_name": "LACHELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-057384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "GHOLSTON",
            "middle_name": "LACHELLE",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Licensed Practical Nurse in Chelsea, AL
• Providers in Chelsea, AL by specialty
• Licensed Practical Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.