Individual provider Active NPI

Ann Teresa Eichner, RN, CRRN, CCM, QRP

  • Registered Nurse
  • Altamonte Springs, FL
National Provider Identifier
1902195944
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
557092 Issued in FL
Practice address
458 Oak Haven Dr
Altamonte Springs, FL 32701-6318
Phone
(407) 964-1602
Fax
(407) 964-1170
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 557092 FL Primary

Addresses

Primary practice location

458 Oak Haven Dr
Altamonte Springs, FL 32701-6318

Mailing address

458 Oak Haven Drive
Altamonte Springs, FL 32701
Phone (407) 964-1602

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
557092FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1902195944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 OAK HAVEN DRIVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-964-1602",
            "fax_number": "407-964-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 OAK HAVEN DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016318",
            "telephone_number": "407-964-1602",
            "fax_number": "407-964-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHNER",
        "first_name": "ANN",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "RN, CRRN, CCM, QRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "557092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.