MS. DARLENE CHRISTINE KOCICH (NPI# 1528170164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528170164 |
Entity Type | Individual |
Full Name | MS. DARLENE CHRISTINE KOCICH |
Credential | FNP-C |
Practice Address |
108 Mosby Ave Littleton NC 27850-9411 |
Mailing Address |
Po Box 640 Roanoke Rapids NC 27870-0640 |
Practice Telephone | 2525865411 |
Practice Fax Number | 2525862028 |
Mailing Telephone | 2525365440 |
Mailing Fax Number | 2525365444 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2012-06-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200881 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 348933A | 05 |
Street Address |
108 MOSBY AVE |
City | LITTLETON |
State | NC |
Zip Code | 27850-9411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568449486 | Ashby Jeffries Burton IIi | Family Medicine | 108 Mosby Ave, Littleton, NC 27850-9411 | 2005-12-30 |
1326599523 | Laurie Ann Nilsen | Nurse Practitioner | 108 Mosby Ave, Littleton, NC 27850-9411 | 2016-10-22 |
1790878510 | Jeffrey Dean Patane | Physician Assistant | 108 Mosby Ave, Littleton, NC 27850-9411 | 2006-10-02 |
1093767535 | Rural Health Group, Inc. | Clinic/Center | 108 Mosby Ave, Littleton, NC 27850-9411 | 2006-05-16 |
1952380545 | Carlotta Marvette Lindsay | Family Medicine | 108 Mosby Ave, Littleton, NC 27850-9411 | 2006-01-11 |
1518945336 | Richard Henry Gross | Surgery | 108 Mosby Ave, Littleton, NC 27850-9411 | 2006-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730730193 | Susan Draper Coley | Technician | 521 Wildwood Circle, Littleton, NC 27850 | 2019-09-26 |
1790045763 | Michael A Jackson | Pharmacist | 123 East South Main St, Littleton, NC 27850 | 2012-05-23 |
1861637159 | Family&youth Service Inc | Case Management | 214e South Main Street, Littleton, NC 27850 | 2008-12-16 |
1841471786 | Atlantic Uniforms and Medical Supplies | Durable Medical Equipment & Medical Supplies | 100 South Main St., Littleton, NC 27850 | 2007-11-20 |
1609997386 | Family&youth Services | Case Management | 127w S Main St, Durham, NC 27850 | 2007-04-02 |
1649365701 | Littleton Pharmacy Inc. | Pharmacy | 123 E. S. Main St., Littleton, NC 27850 | 2006-10-04 |
1205075280 | Atlantic Nursing Staff LLC | Home Health | 100 South Main St., Littleton, NC 27850 | 2009-02-13 |
1851538144 | Futrell Pharmacy Service Inc | Pharmacy | 123 East South Main Street, Littleton, NC 27850-0532 | 2009-01-08 |
1174753081 | Atlantic Nursing Staff LLC | Home Health | 100 South Main St, Littleton, NC 27850-1143 | 2009-07-27 |
1881825735 | Christine Bailey Cooper | Home Health Aide | 100 South Main St, Littleton, NC 27850-1143 | 2009-07-27 |
Find all providers in zip 27850 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043821903 | Brenna Christie | Nurse Practitioner | 5236 Aspen Leaf Dr, Littleton, CO 80125-9646 | 2020-08-13 |
1083250609 | Janna Corbelle | Nurse Practitioner | 5601 S Broadway Ste 460, Littleton, CO 80121-8010 | 2019-11-19 |
1811548662 | Sara Lin Manley | Nurse Practitioner | 7299 W Chestnut Dr, Littleton, CO 80128-5699 | 2019-09-24 |
1780239707 | Elise M Baker | Nurse Practitioner | 4 W Dry Creek Cir Ste 150, Littleton, CO 80120-8072 | 2019-08-06 |
1205490059 | Stephanie Renee Dove | Nurse Practitioner | 5951 Middlefield Rd Ste 102, Littleton, CO 80123-7917 | 2019-04-26 |
1780150201 | Shannon M Keane | Nurse Practitioner | 7261 S Broadway Ste 10l, Littleton, CO 80122-8017 | 2018-10-23 |
1164977922 | Melissa Musso | Nurse Practitioner | 7780 S Broadway Ste 150, Littleton, CO 80122-2641 | 2016-08-22 |
1740647403 | Teresa Zuber | Nurse Practitioner | 5427 S Taft St, Littleton, CO 80127-1557 | 2016-01-25 |
1699176412 | Dawn Morris | Nurse Practitioner | 8174 S. Kipling Pkwy #190, C/o Phenix Salon Suite 119, Littleton, CO 80127-6320 | 2014-09-11 |
1689011512 | Cynthia Sue Shapiro | Nurse Practitioner | 300 Plaza Drive, Suite 275, Littleton, CO 80129 | 2013-06-01 |
Find all providers in LITTLETON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.