Individual provider Active NPI

Ilana Shoshana Kovach, RN

  • Registered Nurse
  • Plano, TX
National Provider Identifier
1023670197
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
948549 Issued in TX
Practice address
1255 W 15TH St Ste 1025
Plano, TX 75075-7253
Phone
(972) 673-0404
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 948549 TX Primary

Addresses

Primary practice location

1255 W 15TH St Ste 1025
Plano, TX 75075-7253

Mailing address

305 Cordova Dr
Allen, TX 75013-3645
Phone (469) 615-6945

Other practice location 1

4240 International Pkwy Ste 158
Carrollton, TX 75007-1974
Phone (866) 544-6741

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
948549TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Childrens Homecare LP Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1023670197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CORDOVA DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133645",
            "telephone_number": "469-615-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 15TH ST STE 1025",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757253",
            "telephone_number": "972-673-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4240 International Pkwy Ste 158",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750071974",
            "country_code": "US",
            "telephone_number": "866-544-6741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "ILANA",
        "middle_name": "SHOSHANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "948549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.