Eastern Hills Health & Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1045 Issued in NM

Legal business name

EASTERN HILLS HEALTH & WELLNESS LLC

Practice address

5800 McLeod Rd NE
Suite C
Albuquerque, NM 87109-2454

Phone

(505) 401-1188

Fax

(505) 884-4995

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Nancy Carr Randall, DOM

Title

President

Phone

(505) 401-1188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1780067876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MCLEOD RD NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092454",
            "telephone_number": "505-401-1188",
            "fax_number": "505-884-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MCLEOD RD NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092454",
            "telephone_number": "505-401-1188",
            "fax_number": "505-884-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HILLS HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "CARR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-401-1188",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NM",
            "license": "1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody East, CSW
• Karla East
• Rebecca Easter
• Allyson Easterday
• Leah Felice Easterling
• Stanley Brent Eastin, ED.D.
• David Eastlund
• Paula Susan Eastman, PMHNP-BC
• Brandy Easton, LPCC
• Sharon Eastvold, SLP

• Health Service Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Health Service Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.