BRENDA KAY EASTHAM (NPI# 1992083265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992083265 |
| Entity Type | Individual |
| Full Name | BRENDA KAY EASTHAM |
| Other Name | BRENDA K HERTLEIN EASTHAM |
| Credential | APRN |
| Practice Address |
8925 Colonial Center Dr Ste 1000 Fort Myers FL 33905 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439560 |
| Practice Fax Number | 2393439624 |
| Mailing Telephone | 2393439560 |
| Mailing Fax Number | 2393439624 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN9441580 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019276800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8960 Colonial Center Dr, Suite 206, Fort Myers, FL 339057810 | 2393439560 | 2393439624 |
| Street Address |
8925 COLONIAL CENTER DR STE 1000 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199567 | Susan Cring Rankin | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2006-01-19 |
| 1962019836 | Tia Danielle Gloster | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2020-09-25 |
| 1225641780 | Jacqueline Mary Bruening Wendorf | Social Worker | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2020-08-25 |
| 1982054078 | Diana Khalil | Internal Medicine | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2016-06-20 |
| 1144679739 | Leonalba Martinez | Internal Medicine | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2016-06-06 |
| 1083008494 | Jacquiline N Greenwald | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2015-03-24 |
| 1629480603 | Teresa Thompson | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2014-05-27 |
| 1972859346 | Christina Marie Caffee | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2012-08-03 |
| 1437414711 | Jonathan Wayne Vonkoenig | Family Medicine | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2012-07-12 |
| 1871858621 | Marion O'hagan | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341450 | Kimberly Debow | Nurse Practitioner | 14646 Aeries Way Dr, Fort Myers, FL 33912-1703 | 2019-02-06 |
| 1144704917 | Adelene Frances Tolisano | Nurse Practitioner | 6840 Fairview St, Fort Myers, FL 33966-1133 | 2018-09-18 |
| 1215417951 | Doreen Destefano | Nurse Practitioner | 12734 Kenwood Ln Ste 84, Fort Myers, FL 33907-5638 | 2018-08-21 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1891127791 | Kimberly A. Litka | Nurse Practitioner | 6150 Diamond Centre Ct Unit 400, Fort Myers, FL 33912-4367 | 2013-08-01 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1376694778 | Melanie Makar | Nurse Practitioner | 1390 Royal Palm Square Blvd, Fort Myers, FL 33919-1077 | 2007-01-15 |
| 1598814972 | Deborah Wince Chapa | Nurse Practitioner | 8925 Colonial Center Drive, Suite 1000, Fort Myers, FL 33905-7810 | 2007-01-09 |
| 1316048895 | Laurie Haefele | Nurse Practitioner | 11215 Metro Pkwy, Fort Myers, FL 33966-1206 | 2006-09-26 |
| 1457451130 | Jo Anne Theresa Kowalski | Nurse Practitioner | 17050 Coral Cay Ln, Fort Myers, FL 33908-5073 | 2006-09-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on BRENDA KAY EASTHAM.
| 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.