Individual provider Active NPI

Kelley Eckhauser, RN

  • School Registered Nurse
  • Scottsdale, AZ
National Provider Identifier
1114351632
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN171391 Issued in AZ
Practice address
6801 E Oak St
Scottsdale, AZ 85257-2037
Phone
(480) 484-3600
NPI assigned
Sep 3, 2013
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN171391 AZ Primary

Addresses

Primary practice location

6801 E Oak St
Scottsdale, AZ 85257-2037

Mailing address

10043 N 106TH PL
Scottsdale, AZ 85258-6027

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
RN171391AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1114351632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10043 N 106TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852586027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 E OAK ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572037",
            "telephone_number": "480-484-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHAUSER",
        "first_name": "KELLEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN171391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

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