Active NPI
Nancy Eichholz, RN, CNP
- Women's Health Nurse Practitioner
- Virginia, MN
National Provider Identifier
1255330122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R120553-2
- Practice address
- 1101 9TH Street N
Virginia, MN 55792 - Phone
- (218) 741-0150
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R120553-2 | MN | Primary |
Addresses
Primary practice location
1101 9TH Street N
Virginia, MN 55792
Mailing address
1101 9TH Street N
Virginia, MN 55792
Phone (218) 741-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 623214100 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R120553-2 | MN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1255330122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 9TH STREET N",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "55792",
"telephone_number": "218-741-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 9TH STREET N",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "55792",
"telephone_number": "218-741-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHHOLZ",
"first_name": "NANCY",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "R120553-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "623214100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.