MRS. TRICIA A KOCH


Address: 1265 W American Dr Ste 100, Neenah, WI 54956
Phone: 9207227747

MRS. TRICIA A KOCH (NPI# 1538263223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538263223
Entity Type Individual
Full Name MRS. TRICIA A KOCH
Credential A.P.N.P.
Practice Address 1265 W American Dr Ste 100
Neenah
WI 54956
Mailing Address 1265 W American Dr Ste 100
Neenah
WI 54956-1405
Practice Telephone 9207227747
Mailing Telephone 9207227747
Enumeration Date 2006-09-12
Last Update Date 2019-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 124650-030 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1538263223 05
WI STATE LICENSE - WI 124650-030 01

Office Location

Street Address 1265 W AMERICAN DR STE 100
City NEENAH
State WI
Zip Code 54956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027610 Robert Elmer Vlach Jr. Urology 1265 W American Dr Ste 100, Neenah, WI 54956 2005-07-18
1235500588 Erin E Downey Physician Assistant 1265 W American Dr Ste 100, Neenah, WI 54956-1405 2015-10-13
1578872628 Wisconsin Institute of Urology Sc Urology 1265 W American Dr Ste 100, Neenah, WI 54956 2010-10-06
1437343761 Heather Kim Beck Nurse Practitioner 1265 W American Dr Ste 100, Neenah, WI 54956 2007-08-29
1033296520 Eric Jon Lawatsch Urology 1265 W American Dr Ste 100, Neenah, WI 54956 2006-11-01
1649293358 Tait D Fors Urology 1265 W American Dr Ste 100, Neenah, WI 54956 2006-07-25
1265467393 Michael J Murphy Urology 1265 W American Dr Ste 100, Neenah, WI 54956 2006-07-11
1356386270 Joshua K Modder Urology 1265 W American Dr Ste 100, Neenah, WI 54956 2006-06-17
1588607717 Daniel J Higgins Urology 1265 W American Dr Ste 100, Neenah, WI 54956 2006-06-14
1790745925 Scott C Kolbeck Urology 1265 W American Dr Ste 100, Neenah, WI 54956 2006-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447768411 Wisconsin Institute of Surgical Excellence LLC Clinic/Center 1265 W American Dr Ste 200, Neenah, WI 54956 2018-01-12
1639614290 Clinton Robert Murchland Pharmacist 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 2017-01-05
1629448550 Melissa Christine Hewitt Physical Therapy Assistant 1119 Higgins Ave, Neenah, WI 54956 2015-10-05
1437581923 Ross Phan Pharmacist 1432 Seymour Crt, Neenah, WI 54956 2013-08-06
1518201318 Meridith Nealy Starling Social Worker 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 2012-11-16
1639464886 Wisconsin Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 901 S. Green Bay Rd, Neenah, WI 54956 2011-06-16
1669701439 Donna Jean Falk Licensed Practical Nurse 1037 B Hunt Ave, Neenah, WI 54956 2009-12-08
1285868257 Angela Marie Bilbrey Dietitian, Registered 307 S Commercial St Ste 101, Neenah, WI 54956 2009-05-06
1003083114 A B See Vision Therapy Centers Sc Optometrist 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 2008-05-08
1629244173 Tamra Marie Knutson Radiology 333 N Commercial St #100, Neenah, WI 54956 2008-05-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790139160 Ashley Gehrke Nurse Practitioner 1702 Dublin Trl Apt 347, Neenah, WI 54956-8821 2016-04-21
1598953820 Holly M Pohlman Nurse Practitioner 3003 W. Breezewood Ln, Neenah, WI 54956 2007-10-11
1710938899 Cathy Diane Shine Nurse Practitioner 1305 W. American Drive, Neenah, WI 54956-2883 2006-05-13
1407807563 Diane Lynn Vanderlin Nurse Practitioner 1305 West American Drive, Neenah, WI 54956-2883 2006-05-13
1902892243 Laura A Tucker Nurse Practitioner West Pavilion 2 Floor, 130 Second Street, Neenah, WI 54956-2753 2005-09-22
1740893114 Lauran M Brice Nurse Practitioner 1305 W American Dr, Neenah, WI 54956-1993 2020-08-26
1245848423 Laura Stafford Nurse Practitioner 300 N Commercial St, Neenah, WI 54956-2619 2020-07-14
1750889630 Jane Carol Pleshek Nurse Practitioner 1540 Lyon Dr, Neenah, WI 54956-5069 2018-01-25
1093241879 Bonnie B Hoersch Nurse Practitioner 130 2nd St, Neenah, WI 54956-2883 2017-05-11
1215463146 Nicole Ver Voort Nurse Practitioner 101 Main St, Neenah, WI 54956-2570 2017-05-11
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Competitor

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City NEENAH
Zip Code 54956

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Dataset Information

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.

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