Active NPI
Tara Michelle Eichert, RD, CNSC, LDN
- Registered Dietitian
- Wilmington, NC
National Provider Identifier
1063712099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003647
- Practice address
- 720 Saint James Dr
Wilmington, NC 28403-2937 - Phone
- (910) 660-8200
- NPI assigned
- Oct 25, 2010
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L003647 | NC | Primary |
Addresses
Primary practice location
720 Saint James Dr
Wilmington, NC 28403-2937
Mailing address
218 N 23Rd St
Wilmington, NC 28405-2863
Phone (910) 792-1231
Other practice location 1
1414 39th Street
Wilmington, NC 28403
Phone (910) 792-1231
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
| License | State | Type | Specialty |
|---|---|---|---|
| L003647 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1063712099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 N 23RD ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284052863",
"telephone_number": "910-792-1231",
"fax_number": "910-799-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 SAINT JAMES DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032937",
"telephone_number": "910-660-8200"
}
],
"practiceLocations": [
{
"address_1": "1414 39th Street",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "28403",
"country_code": "US",
"telephone_number": "910-792-1231",
"fax_number": "910-799-8118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EICHERT",
"first_name": "TARA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "RD, CNSC, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.