Active NPI
Cort Eckert, RN
- Registered Nurse
- Lewiston, ID
National Provider Identifier
1417417635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 37586
- Practice address
- 1118 F St
Lewiston, ID 83501-1930 - Phone
- (208) 799-4440
- NPI assigned
- Mar 22, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 37586 | ID | Primary |
Addresses
Primary practice location
1118 F St
Lewiston, ID 83501-1930
Mailing address
1118 F St
Lewiston, ID 83501-1930
Phone (208) 799-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163W00000X | Other | ID | REGISTERED NURSE |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37586 | ID | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1417417635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 F ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011930",
"telephone_number": "208-799-4440",
"fax_number": "208-799-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 F ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011930",
"telephone_number": "208-799-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "CORT",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "37586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "163W00000X",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.