ANTHONY KOCH PMHNP NPI 1821676669

NPI Information

NPI: 1821676669
Provider Name: ANTHONY KOCH, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2180 JOHNSON AVE
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 781-4768
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Anthony Koch, PMHNP is a psychiatric/mental health nurse practitioner in San Luis Obispo, CA with 3 years of experience. Anthony Koch, PMHNP NPI is 1821676669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2180 JOHNSON AVE
SAN LUIS OBISPO, CA
ZIP 93401-558
Phone: (805) 781-4768

The NPI 1821676669 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 4/1/2021 and was last updated on 4/25/2024.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN61287688	WASHINGTON	No
2	163W00000X	Registered Nurse		RN.445266	OHIO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0029697	OHIO	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61289252	WASHINGTON	Yes

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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