Individual provider Active NPI

Kerry Koch, RN

  • Registered Nurse
  • Danbury, CT
National Provider Identifier
1073461109
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
130912 Issued in CT
Practice address
41 Clapboard Ridge Rd
Danbury, CT 06811-4528
Phone
(203) 798-5223
Fax
(203) 837-5105
NPI assigned
Mar 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 130912 CT Primary

Addresses

Primary practice location

41 Clapboard Ridge Rd
Danbury, CT 06811-4528

Mailing address

41 Clapboard Ridge Rd
Danbury, CT 06811-4528
Phone (203) 798-5223

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kerry.koch@premisehealth.com

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
130912CTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1073461109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CLAPBOARD RIDGE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114528",
            "telephone_number": "203-798-5223",
            "fax_number": "203-837-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CLAPBOARD RIDGE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114528",
            "telephone_number": "203-798-5223",
            "fax_number": "203-837-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "KERRY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "130912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kerry.koch@premisehealth.com",
            "affiliation": "N",
            "address_1": "41 Clapboard Ridge Rd",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068114528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.