Individual provider Active NPI

Sean Raymond Eichkorn, LVN

  • Licensed Vocational Nurse
  • North Richland Hills, TX
National Provider Identifier
1487136248
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
339902 Issued in TX
Practice address
5030 Cloyce CT
North Richland Hills, TX 76180-6945
Phone
(636) 485-7145
NPI assigned
Aug 29, 2018
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 339902 TX Primary

Addresses

Primary practice location

5030 Cloyce CT
North Richland Hills, TX 76180-6945

Mailing address

5030 Cloyce CT
North Richland Hills, TX 76180-6945
Phone (636) 485-7145

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

LicenseStateTypeSpecialty
339902TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1487136248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CLOYCE CT",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806945",
            "telephone_number": "636-485-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CLOYCE CT",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806945",
            "telephone_number": "636-485-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHKORN",
        "first_name": "SEAN",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "339902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.