Amanda Dawn Eickhoff

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

7010 S Yale Ave
Tulsa, OK 74136-5713

Phone

(918) 494-9870

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1811487580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 W 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321779",
            "telephone_number": "918-313-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365713",
            "telephone_number": "918-494-9870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2928 W 68th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741321779",
            "country_code": "US",
            "telephone_number": "918-313-3004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 W 17th Pl",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741194654",
            "country_code": "US",
            "telephone_number": "918-382-2470",
            "fax_number": "918-585-9543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICKHOFF",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Andrew Eglinton, ATC
• Tava Jan Egnor
• Holly Renae Ehmen, BA
• Andrew Cole Eichelberger, PHARMD
• Marianne Eichelberger, RN,IBCLC
• Joseph Nicholas Eid
• Rola E Eid, DO
• Elizabeth Eide
• Caytlin Dawn Eidson, DDS
• Sarah Eidson

• Peer Specialist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.