MICAH EASTMAN (NPI# 1063640472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063640472 |
| Entity Type | Individual |
| Full Name | MICAH EASTMAN |
| Credential | LPN |
| Practice Address |
729a Macon St Brooklyn NY 11233-1313 |
| Mailing Address |
35 Tulip Avenue Po Box 20838 Floral Park NY 11002 |
| Practice Telephone | 9178625215 |
| Practice Fax Number | 7183474643 |
| Mailing Telephone | 9178625215 |
| Mailing Fax Number | 7183474643 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 244647 | NY | Nursing Service Providers |
| Street Address |
729A MACON ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11233-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066381 | Elisa Jeanne Smith | Social Worker | 1505 St. Marks Ave, Clinical Office, Brooklyn, NY 11233 | 2020-09-08 |
| 1154968493 | Jahmani Hylton | Social Worker | 451 Macon Street, Ground Floor, Brooklyn, NY 11233 | 2019-12-05 |
| 1487121935 | Kimberly Ramsay | Social Worker | 1847 Prospect Place, Basement, Brooklyn, NY 11233 | 2018-11-01 |
| 1952823874 | Valerie A Davis | Specialist | 1769 Park Place, 1a, Brooklyn, NY 11233 | 2017-07-12 |
| 1053833988 | Griselda Colmena | Case Manager/Care Coordinator | 1765 Prospect Pl, 2h, Brooklyn, NY 11233 | 2017-07-12 |
| 1316476724 | Juliana Susannah Green Peters | Registered Nurse | 887 Hancock St, Brooklyn, NY 11233 | 2017-06-08 |
| 1043744816 | Marjorie Direny | Social Worker | 23484 Atlantic Ave, Brooklyn, NY 11233 | 2017-04-18 |
| 1467999169 | Myint M Nwe | Student in an Organized Health Care Education/Training Program | #30 Kane Place, Brooklyn, New York City, NY 11233 | 2017-01-20 |
| 1053857417 | Lateefat Lawal | Case Manager/Care Coordinator | 216 Rockaway Ave, Apt 22a, Brooklyn, NY 11233 | 2017-01-10 |
| 1932659232 | Tonetta Arnold | Counselor | 1569 Prospect, 6b, Brooklyn, NY 11233 | 2016-10-11 |
| Find all providers in zip 11233 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901456 | Raven Nichole Bagy | Licensed Practical Nurse | 45 Twin Pines Dr Apt 10a, Brooklyn, NY 11239-1804 | 2020-10-26 |
| 1982203998 | Troy Conliffe | Licensed Practical Nurse | 180 E 17th St, Brooklyn, NY 11226-4668 | 2020-10-21 |
| 1588263883 | Kimberley Wiltshire | Licensed Practical Nurse | 1336 President St, Brooklyn, NY 11213-4238 | 2020-10-19 |
| 1053919639 | Elna Remy | Licensed Practical Nurse | 1639 Hendrickson St, Brooklyn, NY 11234-4315 | 2020-10-15 |
| 1518565183 | Tamara Jessica Lawrence | Licensed Practical Nurse | 1482 Lincoln Pl Apt 7, Brooklyn, NY 11213-4137 | 2020-10-15 |
| 1740896414 | Sarahbeth Boyd | Licensed Practical Nurse | 196 Rockaway Pkwy, Brooklyn, NY 11212-3400 | 2020-09-18 |
| 1205441540 | Ademola Ojo-adesoye | Licensed Practical Nurse | 381 Milford St, Brooklyn, NY 11208-3853 | 2020-09-14 |
| 1366057614 | Jacqueline Bourdeau | Licensed Practical Nurse | 2415 Newkirk Ave, Brooklyn, NY 11226-7622 | 2020-09-14 |
| 1194339572 | Elveta Bamberry | Licensed Practical Nurse | 596 E 87th St, Brooklyn, NY 11236-3229 | 2020-09-03 |
| 1508479650 | Ivrance Petigny | Licensed Practical Nurse | 8419 Avenue N, Brooklyn, NY 11236-5109 | 2020-08-28 |
| Find all providers in BROOKLYN | ||||
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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.