Active NPI
Nicole Danielle Eichinger, RD
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1366072803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 997901
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 997901 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition'S My Life LLC | Dietitian, Registered | Current | Accepting new patients |
| Fuel for Life | Dietitian, Registered | Current | 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.