MRS. TAMMY LYNN EASTRIDGE (NPI# 1255949426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255949426 |
| Entity Type | Individual |
| Full Name | MRS. TAMMY LYNN EASTRIDGE |
| Credential | RN |
| Practice Address |
516 E Nizhoni Blvd Gallup NM 87301-5748 |
| Mailing Address |
6283 Teasdale Rd Charleston MS 38921-9761 |
| Practice Telephone | 5057221000 |
| Mailing Telephone | 6626140808 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
862849 | MS | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6283 Teasdale Rd, Charleston, MS 389219761 | 6626140808 |
| Street Address |
516 E NIZHONI BLVD |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047846 | William Brant Hesidence II | Podiatrist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2005-07-18 |
| 1205437712 | Maryann T Park | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1649871054 | Lesley J Legah | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1659972073 | Carla B Patterson | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1770183733 | Logan Smolla | Pharmacist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-29 |
| 1497355499 | Christopher P Sherman | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-28 |
| 1164022414 | Margaret Krick | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-27 |
| 1780283416 | John Robert Sherwood | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-23 |
| 1366041006 | Tracy Michelle Sherwood | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-23 |
| 1306445473 | Stacey Leigh Cortez | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 163WM0102X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Maternal Newborn |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686050 | Margarett Acenya Skaggs | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-07-22 |
| 1427666858 | Happy Megie | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-07-22 |
| 1346858529 | Lisa Gilbert Wigington | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-07-14 |
| 1669986170 | Ekaete Ekam | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-11-20 |
| 1952814600 | Sabor Mae Biggs | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-11-15 |
| 1548708985 | Alyssa Hewett | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-02-06 |
| 1366839300 | Namjoo Hastiin-nez | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-04-16 |
| 1780080457 | Linda Huband | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2014-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861624066 | Shirley Garcia Cherino | Registered Nurse | 2450 Alamo Ave Se, Albuquerque, NM 87106-3204 | 2009-08-20 |
Please comment or provide details below to improve the information on MRS. TAMMY LYNN EASTRIDGE.
| 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.