AERYN EASTERLING PECK (NPI# 1407352602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407352602 |
| Entity Type | Individual |
| Full Name | AERYN EASTERLING PECK |
| Credential | NP |
| Practice Address |
908 20th St S Birmingham AL 35205-2610 |
| Mailing Address |
1824 Briar Meadow Rd Irondale AL 35210-2610 |
| Practice Telephone | 2059341917 |
| Mailing Telephone | 2054102977 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-116391 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
908 20TH ST S |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913805 | Susanne Eileen Fogger | Nurse Practitioner | 908 20th St S, Birmingham, AL 35205-2610 | 2005-06-26 |
| 1366098899 | Stephanie Miles | Psychiatry & Neurology | 908 20th St S, Birmingham, AL 35205-2610 | 2019-08-12 |
| 1679128813 | Erica Richa' Redwine | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2019-08-05 |
| 1093280182 | Richard Morgan Hamrick II | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2018-10-04 |
| 1396225983 | Tyler Anne Castleman | Social Worker | 908 20th St S, Birmingham, AL 35205-2610 | 2018-08-14 |
| 1255839023 | Iesha Livinston Brown | Case Manager/Care Coordinator | 908 20th St S, Birmingham, AL 35205-2610 | 2018-01-26 |
| 1255845376 | Teria Jo Fuller | Registered Nurse | 908 20th St S, Birmingham, AL 35205-2610 | 2017-11-28 |
| 1629434246 | Heather Louise Logan | Nurse Practitioner | 908 20th St S, Community Care Building, 3rd Floor, Birmingham, AL 35294-2050 | 2016-01-12 |
| 1134502669 | Bethany Pottratz | Social Worker | 908 20th St S, Ccb 4th Fl, Birmingham, AL 35205-2610 | 2015-07-01 |
| 1780067298 | Ayofemi Ward | Family Medicine | 908 20th St S, Birmingham, AL 35294-2050 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227197 | Lavern Snow | Nurse Practitioner | 1108 45th Street Ensley, Birmingham, AL 35208-1804 | 2020-02-14 |
| 1851802508 | Lisa Burke Ritchie | Nurse Practitioner | 1826 6th Avenue South, Birmingham, AL 35294-3328 | 2017-10-21 |
| 1306364526 | Kelly Karell Wright | Nurse Practitioner | 1813 6th Ave S., Uab Hospital, Russell Wing, M240, Birmingham, AL 35924 | 2017-09-08 |
| 1952821944 | Julie Southerland Allen | Nurse Practitioner | 933 19th St S Ste 445, Birmingham, AL 35205-3703 | 2017-06-21 |
| 1457890410 | Ellen Pantazis | Nurse Practitioner | 1250 Inverness Corners, Birmingham, AL 35242-3794 | 2017-02-22 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| 1932561800 | D'angelo Jones | Nurse Practitioner | 1813 6th Ave S Ste 101, Birmingham, AL 35249-6508 | 2016-03-22 |
| 1124499876 | Courtney Estes | Nurse Practitioner | Wti 260a, 1720 2nd Avenue South, Birmingham, AL 35294-3300 | 2015-10-07 |
| 1154724672 | Cori Cunningham | Nurse Practitioner | 1720 2nd Ave S # Bdb503, Birmingham, AL 35294-0004 | 2014-09-29 |
| 1740683218 | Jamie Hiebert | Nurse Practitioner | 1719 6th Avenue South Circ 312, Birmingham, AL 35294-0001 | 2014-09-29 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on AERYN EASTERLING PECK.
| 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.