Active NPI
Brenda J Eastman
- Case Manager/Care Coordinator
- Swansea, MA
National Provider Identifier
1942333778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- ELI0044
- Practice address
- 436 Gardners Neck Rd
Swansea, MA 02777-3105 - Phone
- (800) 788-6084
- Fax
- (508) 674-8730
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | ELI0044 | RI | Primary |
Addresses
Primary practice location
436 Gardners Neck Rd
Swansea, MA 02777-3105
Mailing address
436 Gardners Neck Rd
Swansea, MA 02777-3105
Phone (800) 788-6084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BE34152 | Other | RI | LEAD INSPECTOR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ELI0044 | RI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942333778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 GARDNERS NECK RD",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027773105",
"telephone_number": "800-788-6084",
"fax_number": "508-674-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 GARDNERS NECK RD",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027773105",
"telephone_number": "800-788-6084",
"fax_number": "508-674-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTMAN",
"first_name": "BRENDA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "RI",
"license": "ELI0044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEAD INSPECTOR",
"identifier": "BE34152",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.