Jamie Eichenlaub, MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0032404 Issued in OH

Practice address

23030 State Route 73
West Portsmouth, OH 45663-8861

Phone

(740) 858-1063

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Waverly, OH
  • NPI 1760659171
  Medicare reassignment
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Jackson, OH
  • NPI 1114194347
  NPD
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Piketon, OH
  • NPI 1811164254
  NPD
• Community Action Committee of Pike County

  dba West Portsmouth Family Practice

  • Federally Qualified Health Center (FQHC)
  • West Portsmouth, OH
  • NPI 1003908930
  NPD (past)

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1215653969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 COLES BLVD",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622612",
            "telephone_number": "740-727-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23030 STATE ROUTE 73",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456638861",
            "telephone_number": "740-858-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENLAUB",
        "first_name": "JAMIE",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0032404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Duncan, CDCA
• Roxanne Dunn, RN
• Terry Elwood Dunn
• Aubrey V Dyer
• Veronica Edwards
• Amanda A Evans
• Beth Ann Evans, LPN
• Michelle Evans
• Natessa Evans
• Jeannette Ferguson

• Psychiatric/Mental Health Nurse Practitioner in West Portsmouth, OH
• Providers in West Portsmouth, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.