Active NPI
Nichole A Joslyn Eastham, M.D.
- Surgery of the Hand (Surgery) Physician
- Reno, NV
National Provider Identifier
1902223167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 21060
- Practice address
- 555 N Arlington Ave
Reno, NV 89503-4723 - Phone
- (775) 786-3040
- Fax
- (775) 788-5209
- NPI assigned
- Mar 26, 2014
- Last updated
- Dec 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 21060 | NV | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 21060 | NV | Primary |
Addresses
Primary practice location
555 N Arlington Ave
Reno, NV 89503-4723
Mailing address
555 N Arlington Ave
Reno, NV 89503-4723
Phone (775) 786-3040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15081606 | Other | CAQH | |
| 1902223167 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | njoslyn172632@Direct.renown.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- njoslyn172632@direct.renown.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1902223167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N ARLINGTON AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895034723",
"telephone_number": "775-786-3040",
"fax_number": "775-786-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N ARLINGTON AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895034723",
"telephone_number": "775-786-3040",
"fax_number": "775-788-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSLYN EASTHAM",
"first_name": "NICHOLE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NV",
"license": "21060",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "NV",
"license": "21060",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15081606",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902223167",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "njoslyn172632@Direct.renown.org",
"affiliation": "N",
"address_1": "555 N Arlington Ave",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895034723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.