=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548412356
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARI JILL ECKHARDT RNC WHNP CNM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/13/2008
-----------------------------------------------------
Last Update Date | 02/10/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 455 SCHOOL ST SUITE 29
-----------------------------------------------------
City | TOMBALL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77375-4595
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-374-1860
-----------------------------------------------------
Fax | 281-255-0550
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 455 SCHOOL ST SUITE 29
-----------------------------------------------------
City | TOMBALL
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77375-4595
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-374-1860
-----------------------------------------------------
Fax | 281-255-0550
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LX0001X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
-----------------------------------------------------
License Number | 680133
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 367A00000X
-----------------------------------------------------
Taxonomy Name | Advanced Practice Midwife
-----------------------------------------------------
License Number | 680133
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------