Darci Lee Eigenberg, R.T (R)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

538836 Issued in MN

Practice address

1212 Heckman CT
Saint James, MN 56081-8702

Phone

(507) 375-9670

NPI assigned

Jun 18, 2015

Sex

Female

Sole proprietor

Yes

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1386025005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 5TH AVE",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011428",
            "telephone_number": "507-993-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 HECKMAN CT",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560818702",
            "telephone_number": "507-375-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIGENBERG",
        "first_name": "DARCI",
        "middle_name": "LEE",
        "credential": "R.T (R)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MN",
            "license": "538836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint James, MN
• Radiologic Technologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.