Eleanor Schildwachter McConnell, RN, PHD, GCNS, BC

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

059345 Issued in NC

Practice address

508 Fulton St
Durham, NC 27705-3875

Phone

(919) 286-6932

Fax

(919) 286-6823

NPI assigned

Oct 23, 2006

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

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220745600000",
    "number": "1790868602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 SAINT MARYS RD",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789757",
            "telephone_number": "919-732-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FULTON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-286-6932",
            "fax_number": "919-286-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "ELEANOR",
        "middle_name": "SCHILDWACHTER",
        "name_prefix": "Dr.",
        "credential": "RN, PHD, GCNS, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NC",
            "license": "059345",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "NC",
            "license": "375572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Jeanene McCollum, MD
• Kathryn Hardison McCollum, MS, RD, LDN
• Sally McCollum, PHARMD, CPP
• Hunter William McCombs
• Joshua M McConkey, M.D.
• Maurice McCord
• Kahlia McCorkle
• Dawn Renee McCormack, R.PH.
• Meg McCormack, PA-C
• Emily Snyder McCormick, M.D.

• Gerontology Registered Nurse in Durham, NC
• Providers in Durham, NC by specialty
• Gerontology Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2008; 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.