MRS. ANITA R. KOCH RN CNS NPI 1316190556

NPI Information

NPI: 1316190556
Provider Name: MRS. ANITA R. KOCH, RN CNS
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
7067 TIFFANY BLVD
SUITE 230
POLAND, OH
ZIP 44514
Phone: (330) 758-2748
Get Directions

MRS. Anita R. Koch, RN CNS is an adult health clinical nurse specialist in Poland, OH with 17 years of experience. MRS. Anita R. Koch, RN CNS NPI is 1316190556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7067 TIFFANY BLVD
SUITE 230
POLAND, OH
ZIP 44514-993
Phone: (330) 758-2748
Fax: (330) 758-3282

The NPI 1316190556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2008 and was last updated on 6/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN. 226436	OHIO	No
2	364SA2200X	Clinical Nurse Specialist	Adult Health	NS09826	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H155462	OTHER	OHIO	MEDICARE PTAN
2	000000955776	OTHER	OHIO	ANTHEM BSBS
3	2916518	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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