Individual provider Active NPI

Robert Eichorst

  • Registered Nurse
  • St Petersburg, FL
National Provider Identifier
1033522339
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 9329590 Issued in FL
Practice address
1560 Central Ave
Unit 480
St Petersburg, FL 33705-1605
Phone
(813) 230-5465
NPI assigned
Jun 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 9329590 FL Primary

Addresses

Primary practice location

1560 Central Ave
Unit 480
St Petersburg, FL 33705-1605

Mailing address

1560 Central Ave
Unit 480
St Petersburg, FL 33705-1605
Phone (813) 230-5465

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

State licenses

LicenseStateTypeSpecialty
RN 9329590FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1033522339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 CENTRAL AVE",
            "address_2": "UNIT 480",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051605",
            "telephone_number": "813-230-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 CENTRAL AVE",
            "address_2": "UNIT 480",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051605",
            "telephone_number": "813-230-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHORST",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9329590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.