ANDREA ELIZABETH KOOCH (NPI# 1275174013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275174013 |
| Entity Type | Individual |
| Full Name | ANDREA ELIZABETH KOOCH |
| Credential | PA-C |
| Practice Address |
100 W 4th St Cookeville TN 38501-2448 |
| Mailing Address |
811 Royal View Dr Maryville TN 37801-8683 |
| Practice Telephone | 9315281575 |
| Mailing Telephone | 8658042377 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3989 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 W 4TH ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895057 | Matthew Y. Faier | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2005-07-19 |
| 1518348390 | Allergy Associates, Pa | Durable Medical Equipment & Medical Supplies | 100 W 4th St, Suite 250, Cookeville, TN 38501-2448 | 2015-06-17 |
| 1538568985 | John B. Averitt, Ph.d., Licensed Psychologist | Clinic/Center | 100 W 4th St, Suite 300, Cookeville, TN 38501-2448 | 2014-08-21 |
| 1932445384 | Kristina K Widdifield | Nurse Anesthetist, Certified Registered | 100 W 4th St, Ste 310, Cookeville, TN 38501-2448 | 2012-12-12 |
| 1972899722 | Karen Sue Brandt | Audiologist-Hearing Aid Fitter | 100 W 4th St, Suite 210, Cookeville, TN 38501-2448 | 2011-06-21 |
| 1720219371 | Jennie Barr Newton | Audiologist | 100 W 4th St, Suite 320, Cookeville, TN 38501-2448 | 2009-07-30 |
| 1871730804 | James E Delk | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2009-01-13 |
| 1962664227 | Allergy Associates Pa | Specialist | 100 W 4th St, Suite 250, Cookeville, TN 38501-2448 | 2008-06-27 |
| 1295997690 | Audiology Management Services, Inc | Audiologist | 100 W 4th St, Ste 320, Cookeville, TN 38501-2448 | 2008-06-26 |
| 1285801506 | Audiology Management Services, LLC | Audiologist | 100 W 4th St, Suite 210, Cookeville, TN 38501-2448 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700298700 | Best Weigh Weight Loss Center, LLC | Physician Assistant | 921 S Willow Ave Ste A, Cookeville, TN 38501-4155 | 2014-05-24 |
| 1811983588 | Hillard F Butcher Jr. | Physician Assistant | 404 N Hickory Ave, Cookeville, TN 38501-2431 | 2005-09-27 |
| 1730183583 | Mildred Sue Officer Dyer | Physician Assistant | 135 W 3rd St, Cookeville, TN 38501-2478 | 2005-06-09 |
| 1164056495 | Molly Kate Campbell | Physician Assistant | 406 N Whitney Ave Ste 5, Cookeville, TN 38501-4243 | 2020-02-25 |
| 1700344249 | Lindsey Wright | Physician Assistant | 1101 Neal St, Cookeville, TN 38501-0901 | 2019-03-04 |
| 1437678554 | Elizabeth Kay Elsea Wilmore | Physician Assistant | 150 N Willow Ave, Cookeville, TN 38501-2368 | 2017-09-11 |
| 1497207633 | Kara Stringer | Physician Assistant | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2016-11-03 |
| 1124578984 | Caitlin Locke | Physician Assistant | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2016-10-05 |
| 1902353659 | William Bradley Mccrary | Physician Assistant | 562 W Main St, Cookeville, TN 38506-5382 | 2016-09-09 |
| 1972057016 | Jessica L Titley | Physician Assistant | 406 N Whitney Ave Ste 5, Cookeville, TN 38501-4243 | 2016-08-06 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.