Individual provider Active NPI

Nancy Jean Eklund, RN

  • Registered Nurse
  • Jeffersonville, IN
National Provider Identifier
1013254648
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1026988 Issued in KY
Practice address
1608 Flintlock Dr
Jeffersonville, IN 47130-5521
Phone
(502) 644-9544
Fax
(812) 283-8640
NPI assigned
Jan 16, 2013
Last updated
Jan 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1026988 KY Primary
Registered Nurse 163W00000X 28152693A IN

Addresses

Primary practice location

1608 Flintlock Dr
Jeffersonville, IN 47130-5521

Mailing address

1608 Flintlock Dr
Jeffersonville, IN 47130-5521
Phone (502) 644-9544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28152693AINMDRegistered Nurse
1026988KYMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1013254648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 FLINTLOCK DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305521",
            "telephone_number": "502-644-9544",
            "fax_number": "812-283-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 FLINTLOCK DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305521",
            "telephone_number": "502-644-9544",
            "fax_number": "812-283-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLUND",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1026988",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28152693A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.