BRANDI KOCH (NPI# 1942674171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942674171 |
| Entity Type | Individual |
| Full Name | BRANDI KOCH |
| Credential | RN |
| Practice Address |
51600 Huntington Rd La Pine OR 97739-8887 |
| Practice Telephone | 5415363435 |
| Mailing Telephone | 5415363435 |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2015-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
201507746RN | OR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013276278 | Brandi Nicole Koch | Physical Therapist | 62 Cothern Ests, Morrilton, AR 72110-9154 | 2012-05-09 |
| 1265088595 | Brandi Shanell Koch | Registered Nurse | 1401 Centerville Rd Ste 710, Tallahassee, FL 32308-4641 | 2019-08-13 |
| 1134687296 | Brandi Koch | Dietitian, Registered | 9825 N 95th St Ste 101, Scottsdale, AZ 85258-4590 | 2019-03-07 |
| Street Address |
51600 HUNTINGTON RD |
| City | LA PINE |
| State | OR |
| Zip Code | 97739-8887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904202 | Martin Lindsey Smart | Family Medicine | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2005-07-01 |
| 1285245761 | Deborah Butcher | Licensed Practical Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2020-08-10 |
| 1538779301 | Marc Grayson Lewis | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2020-08-05 |
| 1922644640 | Kevin Christy | Pharmacist | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2019-11-18 |
| 1053973099 | Brianne Kanehl | Nurse Practitioner | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2019-06-30 |
| 1932609369 | Rachel Gonce | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2018-02-12 |
| 1265931000 | Hallie Rebecca Whinnery | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2018-02-07 |
| 1114436672 | Thomas Ryan Giles | Physician Assistant | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2017-09-27 |
| 1184146417 | Beth Ellen Erickson | Social Worker | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2017-07-07 |
| 1194180562 | Janice Cody | Nurse Practitioner | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2015-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910897 | Hannah Noble | Occupational Therapist | 51340 Highway 97 # Or97739, La Pine, OR 97739 | 2015-04-21 |
| 1093145484 | Holly Lassen | Counselor | 51530 Huntington Rd Ste 5, La Pine, OR 97739 | 2013-11-20 |
| 1487899183 | Jennifer Ann Slater | Specialist | 16639 Box Way, Suite A, La Pine, OR 97739 | 2008-12-09 |
| 1003082652 | Jonathan Yang | Dentist | 16475 Bluewood Pl, Lapine, OR 97739 | 2008-05-05 |
| 1104943521 | Total Vision, Inc. | Technician/Technologist | 16487 Bluewood Place, Suite 2, La Pine, OR 97739 | 2007-03-22 |
| 1831243286 | Ronald Otto Nowack | Chiropractor | 16410 3rd St, Ste A, La Pine, OR 97739 | 2007-01-23 |
| 1477613313 | David Kimlin Dunscombe | Dentist | 16440 3rd Street, La Pine, OR 97739 | 2006-12-11 |
| 1740349430 | Joannie J Miller | Nurse Practitioner | 51375 S Huntington Rd, La Pine, OR 97739 | 2006-12-08 |
| 1285677575 | Brice Tyler Stanley | Physician Assistant | 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | 2006-06-14 |
| 1922072909 | High Desert Therapy Associates Inc | Hospice Care, Community Based | 51681 Huntington Road, La Pine, OR 97739 | 2006-02-15 |
| Find all providers in zip 97739 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009060 | Jaclyn Ann Mclaughlin | Registered Nurse | 500 Ne Multnomah St Ste 1006th, Portland, OR 97232-2023 | 2020-09-30 |
| 1184948358 | Trudy Lynn Au | Registered Nurse | 2925 N Willamette Blvd, Portland, OR 97217 | 2010-03-17 |
| 1184237935 | Brittney Tice | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-08-30 |
| 1194345389 | Courtney Rae Klum | Registered Nurse | 110 Beavercreek Rd Ste 100, Oregon City, OR 97045-4307 | 2020-04-17 |
| 1083240295 | Jesse Edward Vander Heide | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-03-19 |
| 1912567082 | Teresa C Braus | Registered Nurse | 4400 Ne Halsey St Ste 200, Portland, OR 97213-1545 | 2019-06-19 |
| 1962971796 | Adria Felice Thomas | Registered Nurse | 2900 State St Ste 101, Medford, OR 97504-8458 | 2018-11-22 |
| 1023557477 | Julie Anne Larson | Registered Nurse | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2017-02-17 |
| 1043752777 | Heather Carey | Registered Nurse | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-11-11 |
| 1669828323 | Michelle Livingston | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-05-11 |
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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.