RACHEL KOCH (NPI# 1245279835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245279835 |
| Entity Type | Individual |
| Full Name | RACHEL KOCH |
| Credential | NURSE PRACTITIONER |
| Practice Address |
24760 Hospital Dr Red Lake MN 56671-0497 |
| Mailing Address |
24760 Hospital Drive Red Lake MN 56671-0497 |
| Practice Telephone | 2186793912 |
| Practice Fax Number | 2186790181 |
| Mailing Telephone | 2186793912 |
| Mailing Fax Number | 2186790181 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R129319-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 289818700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396143350 | Rachel Lynn Koch | Speech-Language Pathologist | 3005 35th St, Columbus, NE 68601-1480 | 2014-12-08 |
| 1174966022 | Rachel Koch | Day Training/Habilitation Specialist | 201 Charleston Dr Lot 2, Cave City, AR 72521-8845 | 2013-04-10 |
| 1750533741 | Rachel Elizabeth Koch | Speech-Language Pathologist | 136 N Fountain St, Connersville, IN 47331-3327 | 2008-10-21 |
| 1548867203 | Rachel Marie Koch | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1154984102 | Rachel A Koch | Physical Therapy Assistant | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2019-04-16 |
| 1467935106 | Rachel Koch | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2018-09-10 |
| 1629497037 | Rachel Koch | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Ccc-4312 Medical Center North Department of Surgery, Nashville, TN 37232-2730 | 2014-04-14 |
| 1033554951 | Rachel Marie Koch | Internal Medicine | 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 | 2013-05-06 |
| Street Address |
24760 HOSPITAL DR |
| City | RED LAKE |
| State | MN |
| Zip Code | 56671-0497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922519263 | Sherry Daker | Pharmacist | 24760 Hospital Dr, Red Lake, MN 56671 | 2017-10-13 |
| 1558525022 | Alma Flora Tatum | Pediatrics | 24760 Hospital Dr, Red Lake, MN 56671 | 2008-07-14 |
| 1124189741 | Sanford Medical Center Fargo | Clinic/Center | 24760 Hospital Dr, Red Lake, MN 56671 | 2006-12-13 |
| 1942216668 | Tiffany Hommes | Registered Nurse | 24760 Hospital Dr, Red Lake, MN 56671 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030419 | Red Lake Homeless Shelter Inc. | Case Management | 15855 Main Ave, Red Lake, MN 56671 | 2020-07-13 |
| 1376026153 | Children's Healing Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 25060 Hwy 1 East, Red Lake, MN 56671 | 2018-09-08 |
| 1003332057 | Red Lake Detention Outpatient | Substance Abuse Rehabilitation Facility | 25064 Highway 1 East, Red Lake, MN 56671 | 2017-08-21 |
| 1831642214 | Jennifer Franke | Pharmacist | 24760 Hospital Rd., Red Lake, MN 56671 | 2016-08-02 |
| 1538445978 | Hoaibac Nguyen | Pharmacist | 24760 Hospital Rd, Red Lake, MN 56671 | 2011-10-31 |
| 1639466048 | Red Lake Comprehensive Health Services | Dental Hygienist | 24809 Hospital Drive, Highway 1, Redlake, MN 56671 | 2011-07-06 |
| 1821391822 | Jill Christine Andersen | Physical Therapist | Hwy 1 Hospital Dr. Box 497, Red Lake, MN 56671 | 2010-12-13 |
| 1871802934 | Elizabeth Vivian Rose | Dentist | 24760 Hospital Dr., Red Lake, MN 56671 | 2010-10-06 |
| 1225202625 | Redlake Chemical Health Program Group Home | Substance Abuse Rehabilitation Facility | 15797 Main Avenue, Redlake, MN 56671 | 2008-04-16 |
| 1104029388 | Shannon Carl Nelson | General Acute Care Hospital | Highway 1 Box 497, Red Lake, MN 56671 | 2007-06-06 |
| Find all providers in zip 56671 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073543484 | Tracy Brower | Nurse Practitioner | Highway 1, Red Lake, MN 56671-0249 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803970 | Kelsey Olson | Nurse Practitioner | 2450 Riverside Ave Fl 9, Minneapolis, MN 55454-1450 | 2020-08-28 |
| 1043821622 | Byron Howard Herdman | Nurse Practitioner | 20671 State Highway 29, Henning, MN 56551-9521 | 2020-08-16 |
| 1568071058 | Miranda Bea Irene Charley | Nurse Practitioner | 510 Water St E, Cannon Falls, MN 55009-1643 | 2020-07-30 |
| 1861001059 | Angelsisters Home Healthcare Servies LLC | Nurse Practitioner | 10001 Butternut Cir N, Brooklyn Park, MN 55443-1864 | 2020-07-24 |
| 1720606544 | Kendra Marie Robida | Nurse Practitioner | 7245 Guider Dr Apt 317, Woodbury, MN 55125-5358 | 2020-07-08 |
| 1568089340 | Emily Abernethy | Nurse Practitioner | 1001 E Superior St Ste 401, Duluth, MN 55802-2229 | 2020-06-29 |
| 1487276556 | Kerriann Godwin | Nurse Practitioner | 842 102nd Ln Ne, Blaine, MN 55434-2642 | 2020-05-12 |
| 1699397851 | School of Health LLC | Nurse Practitioner | 30165 Terryll St, Lindstrom, MN 55045-9310 | 2020-05-11 |
| 1255953626 | Carla Renea Boudoir | Nurse Practitioner | 18342 Kerrville Trl, Lakeville, MN 55044-7310 | 2020-05-08 |
| 1639799745 | Elizabeth Carole Moe | Nurse Practitioner | 2151 Troop Dr, Sartell, MN 56377-4563 | 2020-04-17 |
| 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.