Jordan Elisabeth Eichacker, MS, RD, LN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

323 SW 10TH St
Madison, SD 57042-3200

Phone

(605) 256-8500

NPI assigned

Oct 30, 2018

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1154898971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 W WHISTLER CT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571078505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SW 10TH ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423200",
            "telephone_number": "605-256-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHACKER",
        "first_name": "JORDAN",
        "middle_name": "ELISABETH",
        "credential": "MS, RD, LN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Madison, SD
• Providers in Madison, SD by specialty
• Registered Dietitian in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.