Active NPI
Jaime Koch, RN
- Critical Care Medicine Registered Nurse
- Lewes, DE
National Provider Identifier
1518337500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- LI-0032634
- Practice address
- 424 Savannah Rd
Lewes, DE 19958-1462 - Phone
- (302) 645-3300
- NPI assigned
- Oct 2, 2015
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | LI-0032634 | DE | Primary |
Addresses
Primary practice location
424 Savannah Rd
Lewes, DE 19958-1462
Mailing address
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184768996 | Other | DE | BEEBE MEDICAL CENTER |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LI-0032634 | DE | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1518337500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 SAVANNAH RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581462",
"telephone_number": "302-645-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 SAVANNAH RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581462",
"telephone_number": "302-645-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "JAIME",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "DE",
"license": "LI-0032634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEEBE MEDICAL CENTER",
"identifier": "1184768996",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.