Active NPI
Stephanie Allison Couch, MD
- Emergency Medicine Physician
- Fort Riley, KS
National Provider Identifier
1104265123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01075715A
- Practice address
- 814 Marshall Loop
Fort Riley, KS 66442-4458 - Phone
- (785) 240-1125
- NPI assigned
- Jun 24, 2013
- Last updated
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01075715A | IN | Primary |
Addresses
Primary practice location
814 Marshall Loop
Fort Riley, KS 66442-4458
Mailing address
814 Marshall Loop
Fort Riley, KS 66442-4458
Phone (785) 240-1125
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01075715A | IN | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1104265123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 MARSHALL LOOP",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664424458",
"telephone_number": "785-240-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 MARSHALL LOOP",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664424458",
"telephone_number": "785-240-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "STEPHANIE",
"middle_name": "ALLISON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01075715A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.