JOHN TYLER EICHENBERGER FNP
NPI 1275303075
Nurse Practitioner - Family in South Lake Tahoe, CA
About John Tyler Eichenberger Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN TYLER EICHENBERGER FNP (NPI 1275303075) is an individual family provider in South Lake Tahoe, California, licensed in California (95027787) and active in the NPI registry since January 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Eichenberger's NPI number?
The NPI number for John Eichenberger is 1275303075. It was assigned to this individual provider in the NPPES registry on January 3, 2024.
Where is John Eichenberger located?
John Eichenberger practices at 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA 96150. The listed phone number is (925) 822-4292.
What is John Eichenberger's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for John Eichenberger was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Tyler Eichenberger, FNP · NPI 1275303075
Family physician in South Lake Tahoe, California. Individual provider, active in the CMS NPPES registry since January 3, 2024.
## Identity
- **NPI:** 1275303075 (Entity type: Individual)
- **Enumerated:** January 3, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95027787 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2074 LAKE TAHOE BLVD STE 5, South Lake Tahoe, CA 96150-6408
- **Phone:** (925) 822-4292
## Record status
- **NPPES last updated:** January 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275303075) · Data from the CMS NPPES public registry.