Angela Marie Higgins Koch, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1626-154 Issued in WI

Practice address

705 E Timber Dr
Rhinelander, WI 54501-2859

Phone

(715) 365-3949

NPI assigned

Apr 22, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1386818292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10339 N PINE SQUARE RD",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544878829",
            "telephone_number": "715-360-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012859",
            "telephone_number": "715-365-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ANGELA",
        "middle_name": "MARIE HIGGINS",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1626-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42802700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE PROFESSIONAL SLP LICENSE",
            "identifier": "1626-154",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark H Killian, P.T., L.A.T.
• John Kim, MD
• Betty Kizirian, LPN
• Alice F Kleinhans, PA-C
• Brittany L Knetter, PT, DPT
• Kricket Lynn Koehn, D.D.S.
• Christopher G Koeppl, MD
• Gina K Koeppl, PHD
• Nancy Kofler
• Amy Catherine Koglin, LMFT, BCBA

• Speech-Language Pathologist in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.