Individual provider Active NPI

Nicole Danielle Eichinger, RD

  • Registered Dietitian
  • San Diego, CA
National Provider Identifier
1366072803
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
997901 Issued in TX
Practice address
2407 Adams Ave # 20
San Diego, CA 92116-1303
Phone
(806) 239-4426
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 997901 TX Primary

Addresses

Primary practice location

2407 Adams Ave # 20
San Diego, CA 92116-1303

Mailing address

2407 Adams Ave # 20
San Diego, CA 92116-1303
Phone (806) 239-4426

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nicole.eichinger@nutritionsmylife.com Direct

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

State licenses

LicenseStateTypeSpecialty
997901TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition'S My Life LLC Dietitian, Registered CurrentSince Mar 24, 2024 Accepting new patients
Fuel for Life Dietitian, Registered CurrentSince Feb 6, 2023 Accepting new patients

Locations

2301 Bagdad Rd
Ste 404
Cedar Park, TX 78613
Phone (210) 591-3640

15303 Huebner Rd
Ste 15
San Antonio, TX 78248
Phone (210) 591-3640

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1366072803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 ADAMS AVE # 20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161303",
            "telephone_number": "806-239-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 ADAMS AVE # 20",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161303",
            "telephone_number": "806-239-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHINGER",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "997901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicole.eichinger@nutritionsmylife.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2407 Adams Ave # 20",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921161303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.