MRS. NANCY DIXON KOCH (NPI# 1427535186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427535186 |
| Entity Type | Individual |
| Full Name | MRS. NANCY DIXON KOCH |
| Credential | LSLS CERT. AVED |
| Practice Address |
2 Coleman Dr St Augustine FL 32084-2873 |
| Practice Telephone | 7279671036 |
| Mailing Telephone | 7279671036 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144321985 | Nancy Koch | Registered Nurse | 55 John A Cummings Way, Woonsocket, RI 02895-3247 | 2006-09-26 |
| 1033195136 | Nancy V Koch | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2005-12-20 |
| Street Address |
2 COLEMAN DR |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-2873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285973651 | Amy Domico | Speech-Language Pathologist | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2013-02-05 |
| 1225680697 | Teresa Sufana | Speech-Language Pathologist | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2019-07-15 |
| 1033675616 | Dianne Roosen | Speech-Language Pathologist | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2019-02-19 |
| 1447714589 | Brittany Paglicco | Speech-Language Pathologist | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2019-01-23 |
| 1861964785 | Courteney Morris | Early Intervention Provider Agency | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2018-12-18 |
| 1932670890 | Margaret Pemberton | Early Intervention Provider Agency | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2018-12-17 |
| 1942778642 | Samantha Lentz | Speech-Language Pathologist | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2018-11-12 |
| 1336624337 | Kristen Ostrega | Speech-Language Pathologist | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2018-09-26 |
| 1578045167 | Courtney Clemmons | Speech-Language Pathologist | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2018-08-30 |
| 1194233239 | Carlee Rosie | Speech-Language Pathologist | 2 Coleman Dr, St Augustine, FL 32084-2873 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193021 | Kaylavictoria Obamwonyi | Developmental Therapist | 124 Capulet Dr, St Augustine, FL 32092-4537 | 2015-05-11 |
| 1497941835 | Carol Mehlberg Carberry | Developmental Therapist | 745 Gilda Dr, St Augustine, FL 32086-7605 | 2007-09-19 |
| 1437707817 | Megan Kohut | Developmental Therapist | 56 Water St, St Augustine, FL 32084-2887 | 2019-08-29 |
| 1962823161 | Jamila Cloward | Developmental Therapist | 910 S Winterhawk Dr, Ste 107, St Augustine, FL 32086-3870 | 2013-12-16 |
| 1043547284 | Holistic Speech Therapy Services | Developmental Therapist | 1013 Enon Ct, St Augustine, FL 32092-0431 | 2009-11-09 |
| 1568655348 | Karen Wallace | Developmental Therapist | 111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092-5073 | 2007-08-24 |
| 1265645808 | Aplus Children's Therapy | Developmental Therapist | 111 Nature Walk Parkway, Suite 101, St Augustine, FL 32092-3064 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1316554116 | Carley Alexandra Scartz-nisbet | Developmental Therapist | 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 | 2020-09-25 |
| 1992319909 | Kelly Todd | Developmental Therapist | 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 | 2020-09-07 |
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1750991188 | Kimberley Nunez | Developmental Therapist | 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 | 2020-07-31 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1851900922 | Nathalia Brown | Developmental Therapist | 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 | 2020-07-24 |
| 1053929752 | Jill Schnortz | Developmental Therapist | 484 Nw 232nd Ter, Newberry, FL 32669-2282 | 2020-07-20 |
| 1447868310 | Carleen Korkin | Developmental Therapist | 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
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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.