Kouadio Kra Koko, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

HCO-161328 Issued in VA

Practice address

13074 Pilgrims Inn Dr
Woodbridge, VA 22193-4990

Phone

(703) 843-6603

Fax

(571) 386-1443

NPI assigned

Jul 21, 2016

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1679926018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13074 PILGRIMS INN DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934990",
            "telephone_number": "703-843-6603",
            "fax_number": "571-386-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13074 PILGRIMS INN DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934990",
            "telephone_number": "703-843-6603",
            "fax_number": "571-386-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKO",
        "first_name": "KOUADIO",
        "middle_name": "KRA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "HCO-161328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Knight
• Tammy Denise Knoll, LCSW
• Charlotte O. Koeniger, R.D.
• Sanjeev Kohli, MD
• Kok Seah Lee MD PC
• Anne M Kome, PHARMD
• Joseph A Konopka, DC
• Elisavet Konstantinidou
• Jasmeet Kooner
• Hannah Korankye

• Home Health Registered Nurse in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.