Active NPI
Pamela A. Eichenlaub, PNP
- Perinatal Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1215059886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perinatal Nurse Practitioner
- License
- F390013-1
- Practice address
- 4900 Broad Rd
Syracuse, NY 13215-2265 - Phone
- (315) 492-5899
- NPI assigned
- Apr 4, 2007
- 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 |
|---|---|---|---|---|
| Perinatal Nurse Practitioner | 363LP1700X | F390013-1 | NY | Primary |
Addresses
Primary practice location
4900 Broad Rd
Syracuse, NY 13215-2265
Mailing address
5255 Kasson Rd
Syracuse, NY 13215-8625
Phone (315) 427-6125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F390013-1 | Other | NY | NP LICENSE NUMBER |
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 |
|---|---|---|---|
| F390013-1 | NY | MD | Perinatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215059886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 KASSON RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132158625",
"telephone_number": "315-427-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BROAD RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "315-492-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHENLAUB",
"first_name": "PAMELA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP1700X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Perinatal",
"state": "NY",
"license": "F390013-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE NUMBER",
"identifier": "F390013-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.