Davienne M Koci, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-00941 Issued in KS

Practice address

909 SW Mulvane St
Topeka, KS 66606-1677

Phone

(785) 357-0301

Fax

(785) 357-7581

NPI assigned

Dec 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

Other identifiers 2

Other names 1

• Davienne M. Toth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619953718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061677",
            "telephone_number": "785-357-0301",
            "fax_number": "785-357-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061677",
            "telephone_number": "785-357-0301",
            "fax_number": "785-357-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCI",
        "first_name": "DAVIENNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004640B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004640A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVIENNE",
            "last_name": "TOTH",
            "middle_name": "M.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Maxwell Knowles, PA
• Laura Knox
• Colleen Knudsen
• Lacey N Koch
• Tiffiny Elese Kochan, APRN
• Jordan C Koci, APRN
• David James Koerner, APRN
• Cathy Kofoid, RN, BSN
• Mark W Kohls, DPT
• Angie Kolich, CPTA

• Physician Assistant in Topeka, KS
• Providers in Topeka, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.