AMANDA J. EASTMAN (NPI# 1275964892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275964892 |
| Entity Type | Individual |
| Full Name | AMANDA J. EASTMAN |
| Credential | NP |
| Practice Address |
155 Franklin Street Fitchburg MA 01420-2038 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 9783451919 |
| Practice Fax Number | 9783426240 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2013-12-07 |
| Last Update Date | 2020-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2300387 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
751098 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649613266 | Amanda Eastman | Social Worker | 25 Ne Redlock Lane, Cascade Locks, OR 97014-0424 | 2013-04-12 |
| 1366058174 | Amanda Eastman | Chiropractor | 667 Brevard Rd, Asheville, NC 28806-2237 | 2020-09-17 |
| 1699062646 | Amanda Renee Eastman | Pharmacist | 14391 Chantilly Crossing Ln, Chantilly, VA 20151-2118 | 2011-06-28 |
| 1780989566 | Amanda Eastman | Pharmacist | 1395 S Columbia Rd, Suite C, Grand Forks, ND 58201-4054 | 2011-01-25 |
| Street Address |
155 FRANKLIN STREET |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306137518 | Iris Sullivan Md PC | Nurse Practitioner | 46 Whalon Street, Fitchburg, MA 01420 | 2011-04-21 |
| 1245847292 | Krystina Kacee Bonilla | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-09-24 |
| 1518593680 | Brianna Leonard | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2020-03-20 |
| 1639713753 | Jonatas Deoliveira | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2019-10-31 |
| 1578115697 | Michelle Regan | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2019-07-09 |
| 1023574605 | Leonard Joseph Cooley | Nurse Practitioner | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2019-02-19 |
| 1962916122 | Nancy E Bohan-broderick | Nurse Practitioner | 57 Rollstone Rd, Fitchburg, MA 01420-5350 | 2017-11-27 |
| 1982116810 | Michelle Boudreau | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2017-11-01 |
| 1003338054 | Tabbie Mbaye | Nurse Practitioner | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2017-07-12 |
| 1679028930 | Arlene Flynn | Nurse Practitioner | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2016-08-16 |
| Find all providers in FITCHBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.