Individual provider Active NPI

Sarah Eckmann

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1528433745
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013214 Issued in IL
Practice address
710 N Lake Shore Dr
RM 1010
Chicago, IL 60611-3006
Phone
(312) 503-4854
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209013214 IL Primary

Addresses

Primary practice location

710 N Lake Shore Dr
RM 1010
Chicago, IL 60611-3006

Mailing address

710 N Lake Shore Dr
RM 1010
Chicago, IL 60611-3006
Phone (312) 503-4854

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1528433745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N LAKE SHORE DR",
            "address_2": "RM 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113006",
            "telephone_number": "312-503-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N LAKE SHORE DR",
            "address_2": "RM 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113006",
            "telephone_number": "312-503-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKMANN",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.