Jacquelyn Echoles

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

5504 Natural Bridge Apt 6 West
St. Louis, MO 63120

Phone

(314) 322-3277

NPI assigned

Jan 16, 2020

Last updated

Jan 16, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1427688571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 NATURAL BRIDGE APT 6 WEST",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63120",
            "telephone_number": "314-322-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 NATURAL BRIDGE APT 6 WEST",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63120",
            "telephone_number": "314-322-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHOLES",
        "first_name": "JACQUELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRANSPORTATION",
            "identifier": "J171088004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohsen Sobhi Ebrahim, D.M.D.
• Brendan Thomas Eby, MD
• Charles S Eby, MD
• Jason Eccker, LCSW
• Mara Ada Eccles, MD
• Brenda Yvonne Echols, CMT
• Dedra M Echols, AGNP-C
• Andrew Gordon Eck, MD
• Rachel Mackenzie Eck
• Donna Eckardt, MD

• Non-emergency Medical Transport (VAN) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.