DEBBIE KOCH (NPI# 1649430190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649430190 |
| Entity Type | Individual |
| Full Name | DEBBIE KOCH |
| Credential | APN |
| Practice Address |
1340 S Waldron Rd Fort Smith AR 72903-2556 |
| Mailing Address |
Po Box 23047 Barling AR 72923-0047 |
| Practice Telephone | 4794525040 |
| Practice Fax Number | 4794525040 |
| Mailing Telephone | 4794525040 |
| Mailing Fax Number | 4794525040 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A03074 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
A03074 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1340 S WALDRON RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295780088 | Terrence William Mcknight | Counselor | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2006-05-23 |
| 1093367138 | Chelsea Neal | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2019-07-09 |
| 1528526282 | Amber Flesher | Counselor | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2019-03-12 |
| 1821582446 | Caylee Garner | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2018-06-18 |
| 1215432364 | Lauren Post | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2018-03-29 |
| 1487167045 | Jeremy Henson | Counselor | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-11-06 |
| 1255843223 | Kyley Hood | Counselor | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-10-31 |
| 1992216519 | Jessica Nicole Swaim | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-10-23 |
| 1598276115 | Marsha Leanne Williams | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-10-23 |
| 1124540620 | Julia Marchese | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279263 | Carrie Lynn Hill | Nurse Practitioner | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2020-03-11 |
| 1720613482 | Tonya L Chambers | Nurse Practitioner | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2020-03-03 |
| 1942574645 | Tara Norris | Nurse Practitioner | 7217 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2012-02-28 |
| 1326289547 | Alice A Welch | Nurse Practitioner | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2009-03-18 |
| 1710026257 | Kellie L Berry-hert | Nurse Practitioner | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1457968737 | Natural State Behavioral Health | Nurse Practitioner | 1401 Malvern Ave Ste 180, Hot Springs, AR 71901-6370 | 2020-09-30 |
| 1255944559 | The Clinic At The Forging Place | Nurse Practitioner | 1302 Cherry St, Van Buren, AR 72956-4543 | 2020-08-26 |
| 1508478066 | Jaleesa Shears | Nurse Practitioner | 880 Bayou Vista Dr, Marion, AR 72364-5006 | 2020-08-17 |
| 1306455860 | Wendy Michelle Ray | Nurse Practitioner | 1012 E Church St Ste A, Warren, AR 71671-3530 | 2020-07-29 |
| 1295352771 | Mindful Rx LLC | Nurse Practitioner | 501 Commerce Dr Unit 13341, Maumelle, AR 72113-7729 | 2020-06-30 |
| 1235755638 | Jason David Wallace | Nurse Practitioner | 2616 Gallaway Cv, Jonesboro, AR 72404-7827 | 2020-06-22 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1588299291 | Chastity Qg Stephens | Nurse Practitioner | 2607 Alford Cv, Bryant, AR 72022-7527 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.