Frederick Eckles Jr., LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10297348 Issued in NY

Practice address

6816 Erie Road
Derby, NY 14047

Phone

(716) 562-7012

Fax

(716) 562-7109

NPI assigned

May 3, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1114219607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BARTUS LN",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140061602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 ERIE ROAD",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "14047",
            "telephone_number": "716-562-7012",
            "fax_number": "716-562-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLES",
        "first_name": "FREDERICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10297348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dent Neurologic Group, LLP
• Eric Dibben, PA
• Douglas D Hage MD PC
• Lauren R Dunaway, PT, DPT
• Eckerd Corporation
• Gwendolyn Eckles, LPN
• Michael Warren Fancher, R.PH.
• Julie M. Farrell, MS, CCC-SLP
• Jennifer Foley
• Cathleen Marie Forti, LMT

• Licensed Practical Nurse in Derby, NY
• Providers in Derby, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.