KIMBERLY ROSE EASTERLING (NPI# 1417288630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417288630 |
Entity Type | Individual |
Full Name | KIMBERLY ROSE EASTERLING |
Credential | RT(R) RDMS RVT |
Practice Address |
6221 Hermosa Dr Ocean Springs MS 39564-2512 |
Practice Telephone | 2288609341 |
Mailing Telephone | 2288609341 |
Enumeration Date | 2010-01-28 |
Last Update Date | 2010-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 247100000X | Radiologic Technologist | 165054 | MS | Technologists, Technicians & Other Technical Service Providers |
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
9514 | MS | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
1346870482 | Kimberly Michelle Easterling | Pharmacist | 2960 Shallowford Rd, Marietta, GA 30066-3094 | 2020-01-16 |
Street Address |
6221 HERMOSA DR |
City | OCEAN SPRINGS |
State | MS |
Zip Code | 39564-2512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
Find all providers in zip 39564 |
Taxonomy Code | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114230638 | James Hullon Crawford | Radiologic Technologist | 2505 Warriors Trl, #5, Vicksburg, MS 39180-7207 | 2010-07-26 |
1982842845 | Precious Images Ultrasound, LLC | Radiologic Technologist | 1006 Top Street, Suite H, Flowood, MS 39232-7643 | 2009-01-30 |
1073560983 | Med Imaging, Inc | Radiologic Technologist | 1700 Walker Ln, Suite 5, Greenville, MS 38701-7360 | 2006-05-27 |
City | OCEAN SPRINGS |
Zip Code | 39564 |
Please comment or provide details below to improve the information on KIMBERLY ROSE EASTERLING.
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.