Holly Eckenrode, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN261298L Issued in PA

Practice address

400 Lakemont Park Blvd Ste 100
Altoona, PA 16602-5967

Phone

(814) 941-8026

Fax

(814) 944-7413

NPI assigned

Nov 12, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1376011064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKEMONT PARK BLVD STE 100",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025967",
            "telephone_number": "814-941-8026",
            "fax_number": "814-944-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKEMONT PARK BLVD STE 100",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025967",
            "telephone_number": "814-941-8026",
            "fax_number": "814-944-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENRODE",
        "first_name": "HOLLY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN261298L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Central PA
• Easter Seals Western and Central Pennsylvania
• Easter Seals Western and Central Pennsylvania
• Meredith L Eberhard, M.S. CCC-SLP
• Rebecca Echevarria-Miller, LCSW
• Joyce Eckenrode, RN
• Kristin Elizabeth Eckenrode, PA-C
• Lindsay Erin Eckenrode, R.D, L.D.N
• Penne Edgell
• Edmiston Physical Therapy Co

• Licensed Practical Nurse in Altoona, PA
• Providers in Altoona, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.