Jeanmarie Koehn, CRT,RCP

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

TL5894 Issued in SC

Practice address

606 35TH Ave N
Unit B
Myrtle Beach, SC 29577-1303

Phone

(919) 235-2949

Fax

(888) 803-0047

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Visiting Respiratory Care

  • Certified Respiratory Therapist
  • Myrtle Beach, SC
  • NPI 1942300108

  Respiratory Therapist, Certified

  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1427193192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 35TH AVE N",
            "address_2": "UNIT B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771303",
            "telephone_number": "919-235-2949",
            "fax_number": "888-803-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 35TH AVE N",
            "address_2": "UNIT B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771303",
            "telephone_number": "919-235-2949",
            "fax_number": "888-803-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "JEANMARIE",
        "credential": "CRT,RCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NC",
            "license": "A-2946",
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "SC",
            "license": "TL5894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211265",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL#",
            "identifier": "1386Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7492633",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "016W0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1942300108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lavonda Rochelle Knox, LPC
• Jacqueline Knuttel
• Shaemaa Esam Kobarli
• Michele L Kocent
• Alimitha Monali Kodali, MD
• Yashaswi Koguru, M.D.
• Venkata Sai Kolluru, DO
• Geeth Abhishek Kondaveeti, MD
• John Konopka, OT
• Jimmy L Kontos, MD

• Certified Respiratory Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Certified Respiratory Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.