Active NPI
Susan M Eichner, LPN, LMT
- Licensed Practical Nurse
- Santa Fe, NM
National Provider Identifier
1427565472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 22678
- Practice address
- 1264 Rodeo Rd
Santa Fe, NM 87505-6816 - Phone
- (505) 982-2129
- NPI assigned
- Dec 29, 2017
- Last updated
- Dec 29, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 22678 | NM | Primary |
| Licensed Vocational Nurse | 164X00000X | 22678 | NM | |
| Massage Therapist | 225700000X | 6438 | NM |
Addresses
Primary practice location
1264 Rodeo Rd
Santa Fe, NM 87505-6816
Mailing address
601 W San Mateo Rd Apt 128
Santa Fe, NM 87505-3950
Phone (505) 776-2112
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22678 | NM | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Treatment Services LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Santa Fe, NM
- NPI 1265683049
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1427565472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W SAN MATEO RD APT 128",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053950",
"telephone_number": "505-776-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 RODEO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056816",
"telephone_number": "505-982-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHNER",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "LPN, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NM",
"license": "22678",
"primary": true
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "NM",
"license": "22678",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "6438",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
- Egis Complete Care, Inc
- Egis-Elders Getting Information and Services
- Douglas R Egli, MD
- Bernadette De Maria Eguia Ornelas, MA
- Frances Ehrenberg-Hyman, MA, OTR/L
- Audrey Ekada
- Sydney Kay Ekers, MA, CF-SLP
- Janet Argo Eklund, M.S. ,CCC-SLP
- El Castillo Retirement Residences
- Eldorado Art Therapy and Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.