Active NPI
Eichelle De Los Santos
- Chore Provider
- Scottsbluff, NE
National Provider Identifier
1528879285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- H12862427
- Practice address
- 311 W 31St St
Scottsbluff, NE 69361-4380 - Phone
- (308) 631-8164
- NPI assigned
- Jan 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | H12862427 | NE | Primary |
Addresses
Primary practice location
311 W 31St St
Scottsbluff, NE 69361-4380
Mailing address
311 W 31St St
Scottsbluff, NE 69361-4380
Phone (308) 631-8164
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 |
|---|---|---|---|
| H12862427 | NE | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1528879285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W 31ST ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614380",
"telephone_number": "308-631-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W 31ST ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614380",
"telephone_number": "308-631-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LOS SANTOS",
"first_name": "EICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NE",
"license": "H12862427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.