Active NPI
Joann Eastman, FNP-BC
- Family Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1881044147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8759
- Practice address
- 1917 S Crismon Rd
Mesa, AZ 85209-6216 - Phone
- (480) 610-7100
- NPI assigned
- Jun 17, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60911805 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60911805 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP8759 | AZ | Primary |
Addresses
Primary practice location
1917 S Crismon Rd
Mesa, AZ 85209-6216
Mailing address
1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone (480) 610-7100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN090351 | Other | AZ | REGISTERED NURSE |
| AP60911805 | Other | WA | ADVANCED REGISTERED NURSE PRACTITIONER LICENSE |
| RN60896196 | Other | WA | REGISTERED NURSE LICENSE |
| AP8759 | Other | AZ | ADVANCED REGISTERED NURSE PRACTIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160913002391 | AZ | Practitioner - Nurse Practitioner | 3274779574 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Primary Care Physicians Arizona LLC
Practice addresses (Care Compare)
1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone (480) 610-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60911805 | AZ | MD | Family Nurse Practitioner |
| AP8759 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Physician Practices, LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients | |
| Valley View Physician Practices LLC | Current | Accepting new patients | |
| Valley View Physician Practices LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Past | Accepting new patients |
Locations
5300 S Highway 95
Ste C
Fort Mohave, AZ 86426
Phone (928) 768-2330
1917 S Crismon Rd
Mesa, AZ 85209
Phone (480) 610-7100
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
Organizations & group practices 7
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.
-
- Clinical Medical Laboratory
- Peoria, AZ
- NPI 1649544362
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1790306066
-
- Gastroenterology Physician
- Fort Mohave, AZ
- NPI 1134404742
-
- Obstetrics & Gynecology Physician
- Fort Mohave, AZ
- NPI 1689127102
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1417238908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1881044147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 S CRISMON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852096216",
"telephone_number": "480-610-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 S CRISMON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852096216",
"telephone_number": "480-610-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTMAN",
"first_name": "JOANN",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60911805",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP60911805",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP8759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "RN090351",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED REGISTERED NURSE PRACTITIONER LICENSE",
"identifier": "AP60911805",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "RN60896196",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED REGISTERED NURSE PRACTIONER",
"identifier": "AP8759",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.