Marissa Koch, WHNP, RNC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

418533 Issued in CA

Practice address

238 Brookley Ave SW
Bolling Afb, DC 20032

Phone

(703) 681-6196

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

No

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558356113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 GODOLPHIN DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221533308",
            "telephone_number": "703-455-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE SW",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "703-681-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "MARISSA",
        "name_prefix": "Ms.",
        "credential": "WHNP, RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "418533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren S. Hicks, PA
• Amanda Hoyle, CD(DONA)
• Jose Enrique Ibanez-Pabon, DMD
• Taylor Lynn Ignarri, BSN, RN
• James E King Jr., DMD
• Philip Allan La Kier, M.D.
• Vienna Lawrence
• Emma Tinsley-Bowles Long, LCSW
• Amy Lynn, APRN, DNP, WHNP-BC
• Jerald L Mahlau-Heinert

• Women's Health Nurse Practitioner in Bolling Afb, DC
• Providers in Bolling Afb, DC by specialty
• Women's Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.