Individual provider Active NPI

Mabinty NMN Koker, RN

  • Emergency Registered Nurse
  • Midlothian, VA
National Provider Identifier
1205716453
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
0001209876 Issued in VA
Practice address
11907 Chislet CT
Midlothian, VA 23112-3405
Phone
(804) 483-0000
NPI assigned
Sep 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WE0003X 0001209876 VA Primary

Addresses

Primary practice location

11907 Chislet CT
Midlothian, VA 23112-3405

Mailing address

11907 Chislet CT
Midlothian, VA 23112-3405
Phone (804) 483-0000

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
0001209876VAMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1205716453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11907 CHISLET CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123405",
            "telephone_number": "804-483-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11907 CHISLET CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123405",
            "telephone_number": "804-483-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKER",
        "first_name": "MABINTY",
        "middle_name": "NMN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "VA",
            "license": "0001209876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.