MRS. JENNIFER KOCH MEZICK (NPI# 1699058917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699058917 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER KOCH MEZICK |
| Credential | PA-C |
| Practice Address |
1613 N Mckenzie St Foley AL 36535-2247 |
| Mailing Address |
307 Gaines Ave Mobile AL 36609-2460 |
| Practice Telephone | 2519493400 |
| Mailing Telephone | 2514633457 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
782 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1613 N MCKENZIE ST |
| City | FOLEY |
| State | AL |
| Zip Code | 36535-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842570 | William Garretson | Surgery | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2005-06-22 |
| 1316554876 | Adam Miller | Student in an Organized Health Care Education/Training Program | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2020-09-29 |
| 1376156653 | Kaylee Elizabeth Denmark | Student in an Organized Health Care Education/Training Program | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2020-08-26 |
| 1811510399 | Amy Rebecca Lindley | Nurse Practitioner | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2020-05-19 |
| 1023657459 | Johanna Reyna Rosales | Student in an Organized Health Care Education/Training Program | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2020-01-02 |
| 1265083158 | Rhett Hancock Brown | Nurse Practitioner | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2019-09-23 |
| 1871080986 | Ethan Sterling Sellers | Student in an Organized Health Care Education/Training Program | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2018-04-16 |
| 1255837886 | Luke Burkett Fondren | General Practice | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2018-04-03 |
| 1881190536 | Autumn Dawn Walker | Student in an Organized Health Care Education/Training Program | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2018-04-02 |
| 1538665203 | David Echeverri | Student in an Organized Health Care Education/Training Program | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2018-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800273 | Symbol Health Solutions, L.lc. | Clinic/Center | 910 Vulcan St, Foley, AL 36535 | 2020-07-31 |
| 1437614245 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 2614 S. Mckenzie St., Foley, AL 36535 | 2019-02-06 |
| 1811471360 | Jenny Murphy Smith | Nurse Practitioner | 8158 State Hwy 59 #107, Foley, AL 36535 | 2018-09-20 |
| 1205337904 | Susan Denise Corbin | Social Worker | 623a West Laurel Aveune, Foley, AL 36535 | 2018-02-27 |
| 1841728904 | Candice Marie Osborne | Pharmacist | 2200 South Mckenzie Street, Foley, AL 36535 | 2017-06-01 |
| 1043760622 | Clay Dental | Dentist | 7801 Highway 59, Suite F, Foley, AL 36535 | 2016-10-07 |
| 1487063996 | Gulf Coast Specialty Pharmacy LLC | Pharmacy | 110-a East Azalea Ave, Foley, AL 36535 | 2014-08-08 |
| 1699180315 | Emerald Sands Medical Center | Clinic/Center | 8158 Us Hwy 59, Suite 107, Foley, AL 36535 | 2014-06-23 |
| 1134532807 | Allison Burgess | Nurse Practitioner | 8158 Us Highway 59, Suite 107, Foley, AL 36535 | 2014-06-10 |
| 1346675196 | Gary A. Eberly, Md PC | Pediatrics | 1090 E Laurel Ave., Foley, AL 36535 | 2013-09-12 |
| Find all providers in zip 36535 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558616193 | Diana Caryn Polizo | Physician Assistant | 915 W Laurel Ave, Foley, AL 36535-1324 | 2012-07-19 |
| 1770885212 | Noel Zvonar | Physician Assistant | 1613 N Mckenzie St, Foley, AL 36535-2247 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639154 | Grace Blane Mcmahan | Physician Assistant | 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 | 2019-10-08 |
| 1013558147 | Advanced Provider Solutions, LLC | Physician Assistant | 245 Cobb Rd, Dothan, AL 36301-7504 | 2019-09-30 |
| 1780247692 | Rachel Anne Stallman | Physician Assistant | 601 S 19th Street, Birmingham, AL 35294-0001 | 2019-04-16 |
| 1679031488 | Katie J Winfrey | Physician Assistant | 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 | 2019-03-11 |
| 1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1952806499 | Christy L Franklin | Physician Assistant | 4305 Dolly Ridge Ln, Vestavia, AL 35243-1834 | 2018-03-27 |
| 1538662994 | Morgan Goss | Physician Assistant | 700 Montgomery Hwy Ste 194, Vestavia Hills, AL 35216-1879 | 2018-03-13 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1942748272 | Miranda Hornsby | Physician Assistant | 521 Montgomery Hwy Ste 117, Vestavia, AL 35216-1876 | 2017-02-07 |
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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.