KIMBERLY C EASTERLING (NPI# 1316574809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316574809 |
| Entity Type | Individual |
| Full Name | KIMBERLY C EASTERLING |
| Practice Address |
76 Nealy Avenue Joint Base Langley-eustis Hampton VA 23665 |
| Mailing Address |
2923 Willow St Denver CO 80238-2834 |
| Practice Telephone | 8043807489 |
| Mailing Telephone | 8043807489 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417288630 | Kimberly Rose Easterling | Radiologic Technologist | 6221 Hermosa Dr, Ocean Springs, MS 39564-2512 | 2010-01-28 |
| 1346870482 | Kimberly Michelle Easterling | Pharmacist | 2960 Shallowford Rd, Marietta, GA 30066-3094 | 2020-01-16 |
| Street Address |
76 NEALY AVENUE JOINT BASE LANGLEY-EUSTIS |
| City | HAMPTON |
| State | VA |
| Zip Code | 23665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| 1336299122 | Michael Gardner | Family Medicine | 633d Air Base Wing, Family Health Clinic, 77 Nealy Drive, Langley Afb, VA 23665 | 2007-01-12 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1881215705 | Candace Shelon Lymus | Student in an Organized Health Care Education/Training Program | 1028 Big Bethel Rd, Hampton, VA 23666-1904 | 2020-05-01 |
| 1821622747 | Gina Davis | Student in an Organized Health Care Education/Training Program | 3 Appaloosa Ct, Hampton, VA 23666-5306 | 2020-02-29 |
| 1104459825 | Jennifer Sanders | Student in an Organized Health Care Education/Training Program | 71 Wheatland Dr, Hampton, VA 23666-3558 | 2020-02-20 |
| 1891339040 | Danielle Rossi | Student in an Organized Health Care Education/Training Program | 148 Hall Rd, Hampton, VA 23664-1912 | 2019-10-31 |
| 1679136048 | Camelia Ciobanu | Student in an Organized Health Care Education/Training Program | 9e Ocean Blvd # 9e, Hampton, NH 03842-3047 | 2019-04-20 |
| 1922571231 | Lanice Elaine Ferguson | Student in an Organized Health Care Education/Training Program | 1238 Vienna Ct, Hampton, GA 30228-6452 | 2019-01-09 |
| 1588168074 | Georgina Osaretin Iyamu | Student in an Organized Health Care Education/Training Program | 1370 Daffodil Ln, Hampton, GA 30228-3239 | 2018-03-20 |
| 1356963292 | Paige Wragge | Student in an Organized Health Care Education/Training Program | 104 1st St Nw, Hampton, IA 50441-1702 | 2020-05-14 |
| 1871139287 | Monica Hart Weems | Student in an Organized Health Care Education/Training Program | 2019 Cunningham Dr, Hampton, VA 23666-3323 | 2019-11-20 |
| Find all providers in HAMPTON | ||||
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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.