Madison Kocse, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA20256 Issued in FL

Practice address

6817 Southpoint Pkwy Ste 1602
Jacksonville, FL 32216-6298

Phone

(904) 945-7556

Fax

(904) 379-0113

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1295486702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 10TH ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503331",
            "telephone_number": "610-217-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-945-7556",
            "fax_number": "904-379-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCSE",
        "first_name": "MADISON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114496700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayleigh Koch
• Morgan Elizabeth Koch, PA-C
• Joni R Kocher, APRN
• Shivani Kochhar, MD
• Matthew Paul Kochuba, M.D.
• Alina Michelle Kodatt
• David C Koehler, MD
• Karen Elizabeth Koehler, DDS MS
• Shirley M Koehler, PH.D.
• Susan Koehler, MD

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.