MEDICARE: CHRISTINA DIANE ECKENRODE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	PRS.007618	OH

General Provider Information

NPI Number	:	1336089176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA DIANE ECKENRODE

Provider Business Mailing Address
First Line	:	752 HUFFMAN AVE APT 2
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45403-2617
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 XENIA AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-1824
Country	:	US
Telephone Number	:	760-820-4896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

Similar Medicare Providers

1467251561 — AMY MURAN
Practice Location Address:

526 XENIA AVE
DAYTON, OH
45410-1824

Practice Phone: 937-949-1524
Practice Fax:

1477261683 — SIDEWALK SOLDIERS
Practice Location Address:

526 XENIA AVE
DAYTON, OH
45410-1824

Practice Phone: 937-949-1524
Practice Fax: 937-791-6613

1417820796 — JASON L JOHNSON
Practice Location Address:

526 XENIA AVE
DAYTON, OH
45410-1824

Practice Phone: 937-949-1524
Practice Fax:

1548108038 — DUSTIN EUGENE VANCE
Practice Location Address:

526 XENIA AVE
DAYTON, OH
45410-1824

Practice Phone: 760-820-4896
Practice Fax:

1497878102 — HEARTH & HOME AT VANDALIA
Practice Location Address:

55 GREAT HILL DR
DAYTON, OH
45414-1824

Practice Phone: 937-264-1140
Practice Fax: 937-264-1149

1124960653 — AMAZING GRACE TREATMENT CENTER THERAPEUTIC CARE, LLC.
Practice Location Address:

17 INDIANA AVE
DAYTON, OH
45410-2307

Practice Phone: 937-231-8773
Practice Fax:

Directions to “ CHRISTINA DIANE ECKENRODE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.