Individual provider Active NPI

Debbie Kocan

  • Licensed Practical Nurse
  • Concord Township, OH
National Provider Identifier
1003360744
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN.156794 Issued in OH
Practice address
7757 Auburn Rd Ste 6
Concord Township, OH 44077-9604
Phone
(440) 350-2547
Fax
(440) 350-1997
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.156794 OH Primary

Addresses

Primary practice location

7757 Auburn Rd Ste 6
Concord Township, OH 44077-9604

Mailing address

1208 E Mallard Dr
Madison, OH 44057-2972
Phone (440) 622-6034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN.156794OHMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1003360744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E MALLARD DR",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572972",
            "telephone_number": "440-622-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7757 AUBURN RD STE 6",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779604",
            "telephone_number": "440-350-2547",
            "fax_number": "440-350-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCAN",
        "first_name": "DEBBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.156794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.