Bethany Sue Kocher

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN258930L Issued in PA

Practice address

2589 Mercer St
Sandy Lake, PA 16145-3723

Phone

(724) 376-7209

NPI assigned

Apr 20, 2007

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497972327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 MERCER ST",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "161453723",
            "telephone_number": "724-376-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 MERCER ST",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "161453723",
            "telephone_number": "724-376-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHER",
        "first_name": "BETHANY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN258930L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Jean Devault, LCSW, LISW
• Deborah L Gosnell, CRNP
• Jaida Heckman
• Phiphone Inthalangsy, DMD
• Leslie Arthur Jenkins, DMD
• Thomas J Kosick, D.M.D.
• Diane R Mentch, LPC
• Kishan Patel
• Primary Health Network
• Susan Schwab Ruediger, RPH

• Licensed Practical Nurse in Sandy Lake, PA
• Providers in Sandy Lake, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.