Alicia Koch-Johnson

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

OC60562527 Issued in WA

Practice address

14826 42ND Ave S
Tukwila, WA 98168-4436

Phone

(206) 795-8307

NPI assigned

Apr 28, 2015

Last updated

Apr 28, 2015By the provider in NPPES

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1649657750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14826 42ND AVE S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684436",
            "telephone_number": "206-795-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14826 42ND AVE S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684436",
            "telephone_number": "206-795-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH-JOHNSON",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "OC60562527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kloep, PH.D
• Anthony Klonitsko
• Jake Knell
• Tesla Ryan Knight, OTR/L
• Ni Tung Ko
• Robert J Koch
• Ryan David Kocourek, MSW
• Lauren Kominkiewicz, MSW, LAICSW
• Darien G Konzelman
• Dianne Masako Kosai-Lee

• Point of Service in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Point of Service in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.