Jeanie T Koch, RN

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

712669 Issued in CA

Practice address

200 Ironstone CT
Roseville, CA 95747-5840

Phone

(916) 743-6126

NPI assigned

May 7, 2013

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1699110460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 IRONSTONE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475840",
            "telephone_number": "916-743-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 IRONSTONE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475840",
            "telephone_number": "916-743-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "JEANIE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "CA",
            "license": "712669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven E. Kobrine, M.D.
• Amber Koch
• Bomi Koch
• Christopher D Koch, RN
• Craig S. Koch, M.D.
• Teresa Koch, LCSW
• Puneet Singh Kochar, MD
• Sandra Lucille Kocsis
• Pratima Kodali, MD
• Janis K. Koh, MD

• Neonatal Intensive Care Registered Nurse in Roseville, CA
• Providers in Roseville, CA by specialty
• Neonatal Intensive Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.