JESSICA KOCH (NPI# 1740603323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740603323 |
| Entity Type | Individual |
| Full Name | JESSICA KOCH |
| Credential | LPN |
| Practice Address |
865 Ridgemont Dr Burlington WI 53105-3602 |
| Practice Telephone | 2623425022 |
| Mailing Telephone | 2623425022 |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2014-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 312897-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366992190 | Jessica Koch | Nurse Practitioner | 3330 Sugarloaf Pkwy, Suite A, Lawrenceville, GA 30044-5518 | 2016-10-05 |
| 1104284801 | Jessica L Koch | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2016-02-09 |
| 1083007231 | Jessica L Koch | Counselor | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2015-03-12 |
| Street Address |
865 RIDGEMONT DR |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789686 | Paige Perkins | Licensed Practical Nurse | 5 Hardy Ave, Burlington, VT 05408-1203 | 2020-10-29 |
| 1760015804 | Vivian Marie Hulsey | Licensed Practical Nurse | 6861 12 Mile Rd, Burlington, MI 49029-9755 | 2020-02-18 |
| 1558818815 | Tiffany Ann Freiwald | Licensed Practical Nurse | 30010 Beach Dr, Burlington, WI 53105-9171 | 2016-09-04 |
| 1790230340 | Carin Elizabeth Bowman | Licensed Practical Nurse | W1728 State Road 11, Burlington, WI 53105-3064 | 2016-08-23 |
| 1518312396 | Nicole Lee Bolte | Licensed Practical Nurse | 466 Dutton St Apt 2, Burlington, WI 53105-2008 | 2016-04-28 |
| 1750742177 | Jane Mbabazi | Licensed Practical Nurse | 1223 Arboretum Way, Burlington, MA 01803-3838 | 2016-03-12 |
| 1457760829 | Stephanie Destin | Licensed Practical Nurse | 9 Radcliff Rd, Burlington, MA 01803-1111 | 2014-08-10 |
| 1295167799 | Stephanie Marie Kokes | Licensed Practical Nurse | 34 Isham St, Burlington, VT 05401-8519 | 2013-08-07 |
| 1235474479 | Ashley Kaye Karlinsky | Licensed Practical Nurse | 1493 Park St, Burlington, WI 53105-9081 | 2012-11-28 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.