LAUREN K EADLINE (NPI# 1770061863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770061863 |
Entity Type | Individual |
Full Name | LAUREN K EADLINE |
Credential | FNP |
Practice Address |
3229 E Genesee St Syracuse NY 13214-2016 |
Mailing Address |
7517 River Rd Baldwinsville NY 13027-9430 |
Practice Telephone | 3154645726 |
Mailing Telephone | 3155272121 |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
343425 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3229 E GENESEE ST |
City | SYRACUSE |
State | NY |
Zip Code | 13214-2016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336132695 | Rachel L. Hopkins | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2005-08-23 |
1689234965 | Marsha Ann Mosher | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2040 | 2019-06-18 |
1992362511 | Destiny M Jett | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2040 | 2019-05-20 |
1831617646 | Rebecca Lynn Fuller | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2017-08-31 |
1346782695 | Jennifer Lansing | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2016-11-16 |
1992156996 | Danielle Stegman-barber | Dietitian, Registered | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2016-06-30 |
1497125660 | Cassie Arnold | Physician Assistant | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2015-10-01 |
1922409135 | Maria Aquilino | Nurse Practitioner | 3229 E Genesee St, Syracuse, NY 13214-2016 | 2014-09-07 |
1174815245 | Ruban Dhaliwal | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2011-05-09 |
1477782357 | Sheri Stone | Nurse Practitioner | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2009-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
Find all providers in zip 13214 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
1679191019 | Katherine Rose Halleck | Nurse Practitioner | 141 Atkinson Ave, Syracuse, NY 13207-1125 | 2020-07-13 |
1649817693 | Ladislava Kulikova | Nurse Practitioner | 55 Westbrook Hills Dr, Syracuse, NY 13215-1809 | 2019-12-09 |
1841845799 | Robin M Stark | Nurse Practitioner | 1000 E Genesee St Ste 402, Syracuse, NY 13210-1853 | 2019-08-07 |
1699335729 | Kathleen M Tindall | Nurse Practitioner | 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 | 2019-06-20 |
1760964142 | Stacey Margaret Schneble | Nurse Practitioner | 114 Skyview Ter, Syracuse, NY 13219-2850 | 2018-09-03 |
1447753355 | Lilia P Buchmuller | Nurse Practitioner | 1361 S 2675 W, Syracuse, UT 84075-8306 | 2018-03-16 |
1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
1225550783 | Kerry Laine Goessling | Nurse Practitioner | 6712 Brooklawn Pkwy Ste 204, Syracuse, NY 13211-2158 | 2017-07-16 |
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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.