MR. KOUADIO KRA KOKO (NPI# 1679926018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679926018 |
Entity Type | Individual |
Full Name | MR. KOUADIO KRA KOKO |
Credential | RN |
Practice Address |
13074 Pilgrims Inn Dr Woodbridge VA 22193-4990 |
Practice Telephone | 7038436603 |
Practice Fax Number | 5713861443 |
Mailing Telephone | 7038436603 |
Mailing Fax Number | 5713861443 |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-07-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
HCO-161328 | VA | Nursing Service Providers |
Street Address |
13074 PILGRIMS INN DR |
City | WOODBRIDGE |
State | VA |
Zip Code | 22193-4990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
Find all providers in zip 22193 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
1417595828 | Danielle Renee Benninghoff | Registered Nurse | 15324 Gatehouse Ter, Woodbridge, VA 22191-4100 | 2019-12-16 |
1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
1043820319 | Annette Sarpong | Registered Nurse | 15337 Barnabas Trl, Woodbridge, VA 22193-5566 | 2020-08-03 |
1124372321 | Jacqueline Patricia Johnson-bryant | Registered Nurse | 14142 Minnieville Rd, Suite 207, Woodbridge, VA 22193-2371 | 2012-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417556648 | Josephine Moseray | Registered Nurse | 6969 Richmond Hwy Ste 201, Alexandria, VA 22306-1804 | 2020-10-19 |
1407462591 | L&j Companion LLC | Registered Nurse | 3268 Courthouse Rd Apt C, Louisa, VA 23093-3332 | 2020-09-23 |
1740896729 | Taquiya Janae Rainey | Registered Nurse | 901 Lassiter Dr, Newport News, VA 23607-6407 | 2020-09-16 |
1003438847 | Margaret Leigh Mills | Registered Nurse | 101 Fancy Ct, Stephens City, VA 22655-3729 | 2020-05-14 |
1467073361 | Lesa Y Brown | Registered Nurse | 8224 Sir Lionel Pl, North Chesterfield, VA 23237-4725 | 2020-05-01 |
1548892284 | Nanaabena Tabiri-ghansah | Registered Nurse | 6911 Richmond Hwy Ste 301b, Alexandria, VA 22306-1846 | 2020-02-11 |
1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
1295373215 | Janice Manase | Registered Nurse | 11350 Random Hills Rd Ste 878, Fairfax, VA 22030-6044 | 2019-12-20 |
1891333704 | Heather-may Ellen Wright | Registered Nurse | 10550 Linden Lake Plz, Manassas, VA 20109-6495 | 2019-12-11 |
1639714157 | Cielito Home Health Services, LLC | Registered Nurse | 3708 3rd. Street South, Arlington, VA 22204 | 2019-11-07 |
Find all providers with the same taxonomy |
City | WOODBRIDGE |
Zip Code | 22193 |
Please comment or provide details below to improve the information on MR. KOUADIO KRA KOKO.
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.