MS. JEANIE T KOCH (NPI# 1699110460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699110460 |
| Entity Type | Individual |
| Full Name | MS. JEANIE T KOCH |
| Credential | RN |
| Practice Address |
200 Ironstone Ct Roseville CA 95747-5840 |
| Practice Telephone | 9167436126 |
| Mailing Telephone | 9167436126 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
712669 | CA | Nursing Service Providers |
| Street Address |
200 IRONSTONE CT |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-5840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760830830 | Christopher D Koch | Registered Nurse | 200 Ironstone Ct, Roseville, CA 95747-5840 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370704 | Amy Gorence | Registered Nurse | 2385 Sheri Pl, Alpine, CA 91901-4805 | 2020-06-11 |
| 1497307813 | Ivonne Jeanette Garcia | Registered Nurse | 9800 Marklein Ave, North Hills, CA 91343-2131 | 2019-07-16 |
| 1912464017 | Betty Nyantakyiwaah Boateng | Registered Nurse | 7313 Fallbrook Ave, West Hills, CA 91307-2105 | 2019-02-25 |
| 1306302591 | Rosalind Susan Wiggins | Registered Nurse | 4323 Palo Verde Ave, Lakewood, CA 90713-2948 | 2019-02-13 |
| 1376008292 | Christina Thai | Registered Nurse | 2920 International Blvd, Oakland, CA 94601-2228 | 2019-02-05 |
| 1295218212 | Tran T Tran | Registered Nurse | 415 W Carroll Ave Ste 201, Glendora, CA 91741-4208 | 2018-09-14 |
| 1700239472 | Cynthia M Serrano | Registered Nurse | 13065 Peyton Dr Ste D, Chino Hills, CA 91709-6019 | 2016-07-19 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1306205109 | Kisha Fausett | Registered Nurse | 3020 Childrens Way # Mc5008, San Diego, CA 92123-4223 | 2016-02-22 |
| 1801254354 | Claire Choice | Registered Nurse | 12 Greco Aisle, Irvine, CA 92614-0272 | 2016-01-29 |
| Find all providers with the same taxonomy | ||||
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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.