Sean Raymond Eichkorn, LVN

Key facts

NPI

1487136248

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Vocational Nurse 164X00000X

License

339902 (TX)

Practice address

5030 Cloyce CT
North Richland Hills, TX 76180-6945

Phone

(636) 485-7145

NPI assigned

Aug 29, 2018

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 29, 2018.

{
    "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": []
}

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All providers in North Richland Hills, TX · Licensed Vocational Nurse in Texas