Individual provider Active NPI

David Alan Kohl, FNP

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1144683152
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000920 Issued in DE
Practice address
410 Foulk Rd
Suite 200 B
Wilmington, DE 19803-3820
Phone
(302) 762-6675
Fax
(302) 762-6695
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000920 DE Primary

Addresses

Primary practice location

410 Foulk Rd
Suite 200 B
Wilmington, DE 19803-3820

Mailing address

410 Foulk Rd
Suite 200 B
Wilmington, DE 19803-3820
Phone (302) 762-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205001106 DE Practitioner - Nurse Practitioner 9032476775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Medical Associates, PAGroup PAC ID 8921252941, 13 clinicians

Practice addresses (Care Compare)

410 Foulk Rd
Suite 200B
Wilmington, DE 19803-3802
Phone (302) 762-6675

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Associates PA CurrentSince Oct 24, 2017 Accepting new patients

Locations

410 Foulk Rd
Ste 200B
Wilmington, DE 19803
Phone (302) 561-4202

2055 Limestone Rd
Ste 101
Wilmington, DE 19808
Phone (302) 762-6675

Interoperability endpoints

  • Direct secure messaging: david.kohl.1@17876.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17876/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1144683152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FOULK RD",
            "address_2": "SUITE 200 B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033820",
            "telephone_number": "302-762-6675",
            "fax_number": "302-762-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FOULK RD",
            "address_2": "SUITE 200 B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033820",
            "telephone_number": "302-762-6675",
            "fax_number": "302-762-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.