Active NPI
Agnes Barbara Kocsis, MD
- Psychiatry Physician
- Tacoma, WA
National Provider Identifier
1518032374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MC00039142
- Practice address
- 2209 E.32ND STR
Tacoma, WA 98404 - Phone
- (253) 593-0232
- Fax
- (253) 382-2091
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MC00039142 | WA | Primary |
Addresses
Primary practice location
2209 E.32ND STR
Tacoma, WA 98404
Mailing address
9420 Linden Ave N
Seattle, WA 98103-3231
Phone (206) 527-0247
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150778 | Other | WA | LABOR & INDUSTRIES |
| 1355KO | Other | WA | REGENCE |
| 98404A030 | Other | WA | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC00039142 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518032374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9420 LINDEN AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981033231",
"telephone_number": "206-527-0247",
"fax_number": "253-382-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 E.32ND STR",
"city": "TACOMA",
"state": "WA",
"postal_code": "98404",
"telephone_number": "253-593-0232",
"fax_number": "253-382-2091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCSIS",
"first_name": "AGNES",
"middle_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MC00039142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "150778",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "1355KO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "98404A030",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.