DR. JESSICA N B EASTERLING (NPI# 1669656849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669656849 |
| Entity Type | Individual |
| Full Name | DR. JESSICA N B EASTERLING |
| Credential | M.D |
| Practice Address |
309 11th St Carrollton KY 41008-1435 |
| Practice Telephone | 5027327140 |
| Practice Fax Number | 5027327136 |
| Mailing Telephone | 5027323272 |
| Mailing Fax Number | 5027327136 |
| Enumeration Date | 2007-12-23 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 43516 | KY | Allopathic & Osteopathic Physicians |
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
43516 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100174360 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629538756 | Jessica Lorene Easterling | Peer Specialist | 6181 Cox St, Ravenna, OH 44266-1507 | 2019-03-24 |
| 1730668260 | Jessica Boyd Easterling | Counselor | 54306 Jim Stuart Rd, Angie, LA 70426-3364 | 2018-08-06 |
| Street Address |
309 11TH ST |
| City | CARROLLTON |
| State | KY |
| Zip Code | 41008-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240262 | Daniel A Shields | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2005-10-24 |
| 1508411562 | Kimberly Lane Smith | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-08-07 |
| 1598227175 | Toni Nicole Wright | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-04-03 |
| 1982184925 | Commonwealth Pain Associates Pllc | Durable Medical Equipment & Medical Supplies | 309 11th St, Carrollton, KY 41008-1435 | 2018-08-20 |
| 1801324363 | William Clark | Pharmacist | 309 11th St, Carrollton, KY 41008-1435 | 2017-05-30 |
| 1629422886 | Amber Adcock | Nurse Practitioner | 309 11th St, Carrollton, KY 41008 | 2016-04-14 |
| 1518339423 | Green Fern Emergency Physicians, LLC | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2015-10-30 |
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1598107112 | Amanda Davis | Dietitian, Registered | 309 11th St, Carrollton, KY 41008-1435 | 2013-07-24 |
| 1851645501 | Erica A. Chowning | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2012-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233039 | Brett T Gibson | Chiropractor | 2519 Hwy 227 Unit D, Carrollton, KY 41008 | 2016-09-15 |
| 1326382136 | Carroll County Board of Education | Local Education Agency (LEA) | 813 Hawkins St, Carrollton, KY 41008 | 2012-11-16 |
| 1114229234 | Sy Dan Nguyen, Psc | Dentist | 2551 Us Highway 27, Carrollton, KY 41008 | 2010-11-22 |
| 1447300660 | Webster Drugs, Inc. | Pharmacist | Parklane Shopping Center, Carrollton, KY 41008 | 2007-01-11 |
| 1629139522 | Carroll County Medical Advisors Lp | General Acute Care Hospital | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1912073719 | Philip V Habas Dmd Psc | Dentist | 1209 Highland Ave, Suite L, Carrollton, KY 41008 | 2006-11-27 |
| 1447320353 | Carrollton Medical Associates | Internal Medicine | 307 Eleventh Street, Carrollton, KY 41008 | 2006-11-08 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1194818609 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 205 Marwill Dr, Carrollton, KY 41008 | 2006-10-02 |
| 1093819427 | John Thornton Newcomb | Dentist | 1714 Highland Ave., Carrollton, KY 41008 | 2006-09-07 |
| Find all providers in zip 41008 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124480348 | Neha Rao Manikonda | Pediatrics | 3044 Old Denton Rd Ste 138, Carrollton, TX 75007-5099 | 2016-03-26 |
| 1093993404 | Michelle S Tucker | Pediatrics | 1821 Golden Trail Ct Ste 200, Carrollton, TX 75010-4675 | 2008-02-07 |
| 1013112341 | Jyoti Sridhar Murthy | Pediatrics | 3044 Old Denton Road, Suite 138, Carrollton, TX 75007-5099 | 2007-06-18 |
| 1124245634 | D.b.a. Sand Hill Pediatrics | Pediatrics | 305 Prizm Dr, Carrollton, GA 30116-5596 | 2007-04-19 |
| 1245329135 | Margarita Maria Miller | Pediatrics | 2801 North I35 East, Suite #110, Carrollton, TX 75007 | 2006-10-11 |
| 1457458259 | Farah Naz | Pediatrics | 2459 E Hebron Pkwy, Suite 100, Carrollton, TX 75010-4482 | 2006-09-20 |
| 1003826496 | Thomas E. Grubb | Pediatrics | 4443 N Josey Ln Ste 160, Carrollton, TX 75010-4676 | 2006-08-08 |
| 1497785554 | Monica J Beamer | Pediatrics | 4443 N Josey Ln Ste 150, Carrollton, TX 75010-4680 | 2006-07-04 |
| 1801861562 | Tammy Anita Lyles-arnold | Pediatrics | 205 Bankhead Hwy, Carrollton, GA 30117-3427 | 2006-02-17 |
| 1306820477 | Eric H Baret | Pediatrics | 410 Newnan St, Carrollton, GA 30117-3111 | 2005-12-02 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
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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.