Active NPI
Jodie Eickhoff, N.P.-BC
- Adult Health Nurse Practitioner
- Troy, MI
National Provider Identifier
1033549381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704240718
- Practice address
- 6535 Rochester Rd Ste 2
Troy, MI 48085-1362 - Phone
- (248) 813-0060
- NPI assigned
- Nov 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704240718 | MI | Primary |
Addresses
Primary practice location
6535 Rochester Rd Ste 2
Troy, MI 48085-1362
Mailing address
6535 Rochester Rd
Ste 102
Troy, MI 48085-1362
Phone (810) 241-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Institute for Pain Management P.C. | Current | Accepting new patients |
Locations
6535 Rochester Rd
Ste 102
Troy, MI 48085
Phone (248) 813-0060
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Troy, MI
- NPI 1942496443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1033549381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6535 ROCHESTER RD",
"address_2": "STE 102",
"city": "TROY",
"state": "MI",
"postal_code": "480851362",
"telephone_number": "810-241-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 ROCHESTER RD STE 2",
"city": "TROY",
"state": "MI",
"postal_code": "480851362",
"telephone_number": "248-813-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICKHOFF",
"first_name": "JODIE",
"credential": "N.P.-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-24",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704240718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.