Marie Hummel-Eisner, LVN, PHT

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

169513 Issued in TX

Practice address

756 Northwest Dr
Fredericksburg, TX 78624-5921

Phone

(830) 997-9417

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1609075050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2467",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786241922",
            "telephone_number": "830-997-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 NORTHWEST DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245921",
            "telephone_number": "830-997-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL-EISNER",
        "first_name": "MARIE",
        "credential": "LVN, PHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "169513",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "06659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Thomas Hornsby
• Felice H Howard, M.D.
• Kaitlyn Hubbard
• Ardra Dea Hughes, P.T.
• Carl David Hughes, MD
• John Thomas Hutton, M.D., PHD
• Meredith Laura Itz, ACNS-BC
• J-S Fredericksburg Operations LP
• Jamison Professional Counseling Center Inc
• Jeffrey David Jamison, LCSW

• Licensed Practical Nurse in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.