Kimberly J Koscher, BS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1711 Howard St
South Bend, IN 46617-1826

Phone

(574) 276-6092

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1356018956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 HOWARD ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171826",
            "telephone_number": "574-276-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 HOWARD ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171826",
            "telephone_number": "574-276-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHER",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie F Kolstad-Blanchaed, MA
• Kristen Konecny
• Melinda Konrath, RN
• Abigail Marie Korb, PA-C
• Jane Korson, MSW, LSW
• Matthew Francis Koscielski, M.D.
• Douglas John Kosek, D.D.S.
• Zdzislaw Jerry Kosel, MD
• Joey Koselak, MSW
• Stephanie Kostizen, MSW

• Developmental Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.