Active NPI
Patricia Eckhardt, C-FNP
- Family Nurse Practitioner
- Pearland, TX
National Provider Identifier
1770500217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP108665
- Practice address
- 9522 Broadway St
Pearland, TX 77584-7724 - Phone
- (866) 389-2727
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 649102 | TX | |
| Nurse Practitioner | 363L00000X | 363151 | CA | |
| Nurse Practitioner | 363L00000X | 649102 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP108665 | TX | Primary |
Addresses
Primary practice location
9522 Broadway St
Pearland, TX 77584-7724
Mailing address
520 Southport LN
Kemah, TX 77565-2920
Phone (281) 334-0539
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041479901 | Medicaid | TX | |
| 041479902 | Medicaid | TX |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363151 | CA | MD | Nurse Practitioner |
| 649102 | TX | MD | Family Nurse Practitioner |
| AP108665 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Southeast Emergency Physicians, LLP | Nurse Practitioner | Past | Accepting new patients |
| Memorial Southwest Emergency Physicians, LLP | Nurse Practitioner | Past | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Nurse Practitioner
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1225063589
Nurse Practitioner
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1831124114
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1770500217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SOUTHPORT LN",
"city": "KEMAH",
"state": "TX",
"postal_code": "775652920",
"telephone_number": "281-334-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9522 BROADWAY ST",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847724",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKHARDT",
"first_name": "PATRICIA",
"credential": "C-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "649102",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "363151",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "649102",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP108665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041479901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041479902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.