Kimberly Dawn Couchman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.117616-M-IV Issued in OH

Practice address

5933 Calland Rd
Urbana, OH 43078-9396

Phone

(937) 441-7345

NPI assigned

Jan 16, 2015

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

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": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1457740201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 CALLAND RD",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789396",
            "telephone_number": "937-362-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 CALLAND RD",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789396",
            "telephone_number": "937-441-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCHMAN",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.117616-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Cooper
• Tomie Sue Cooper
• Mary Caroline Cornell
• Christopher James Cotter, P.T.
• Tina Cotto, LICDC
• William Courant Jr.
• Leah E Coy, STNA
• Cory K Crabtree
• John Crankshaw, M.D.
• Lori Lynne Crawford

• Licensed Practical Nurse in Urbana, OH
• Providers in Urbana, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.