Active NPI
Keitha Lynn Eckles, NP
- Nurse Practitioner
- Columbus, OH
National Provider Identifier
1952557084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA#NP-01893
- Practice address
- 6001 East Broad St
Mount Carmel East Hospital
Columbus, OH 43213 - Phone
- (614) 234-6590
- Fax
- (614) 234-9395
- NPI assigned
- Aug 8, 2008
- Last updated
- Aug 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA#NP-01893 | OH | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | NCC#ECK1-0427-7390 | OH |
Addresses
Primary practice location
6001 East Broad St
Mount Carmel East Hospital
Columbus, OH 43213
Mailing address
700 Children's Drive
24 Nicu - NNP Program
Columbus, OH 43205
Phone (614) 722-6510
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA#NP-01893 | OH | MD | Nurse Practitioner |
| NCC#ECK1-0427-7390 | OH | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1952557084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDREN'S DRIVE",
"address_2": "24 NICU - NNP PROGRAM",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43205",
"telephone_number": "614-722-6510",
"fax_number": "722-722-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 EAST BROAD ST",
"address_2": "MOUNT CARMEL EAST HOSPITAL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-234-6590",
"fax_number": "614-234-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLES",
"first_name": "KEITHA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA#NP-01893",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "OH",
"license": "NCC#ECK1-0427-7390",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.