Allison Marie Koch

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10307876 Issued in NY

Practice address

11 Pinecrest Road
Whitesboro, NY 13492

Phone

(315) 542-5629

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Allison Marie Drake Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2012.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1659627438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PINECREST ROAD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "13492",
            "telephone_number": "315-542-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PINECREST ROAD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "13492",
            "telephone_number": "315-542-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10307876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "DRAKE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Asima Kajtazovic, FNP
• Ashley Heryn Kim
• David Paul Kingwater II, D.C.
• Cristin Kirkland, FNP
• Julianna Kirylka, NP
• John E Konyak, DDS
• Tracy Kovacs, PHARMD
• KPH Healthcare Services, Inc.
• Robert Brayton Langdon, R.PH.
• Langdons Apothecary Inc

• All providers in Whitesboro, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.