Active NPI
Dyanna L Eck, RN
- Home Health Registered Nurse
- Brooklyn, NY
National Provider Identifier
1972826964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 422834-1
- Practice address
- 5923 Strickland Ave
Brooklyn, NY 11234-6435 - Phone
- (718) 872-2400
- NPI assigned
- Mar 5, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 422834-1 | NY | Primary |
Addresses
Primary practice location
5923 Strickland Ave
Brooklyn, NY 11234-6435
Mailing address
11417 Rockaway Beach Blvd
Apartment 3
Rockaway Park, NY 11694-2318
Phone (718) 790-3431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02011269 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 422834-1 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1972826964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11417 ROCKAWAY BEACH BLVD",
"address_2": "APARTMENT 3",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942318",
"telephone_number": "718-790-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5923 STRICKLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346435",
"telephone_number": "718-872-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECK",
"first_name": "DYANNA",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-05",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "422834-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02011269",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.