Theresa Koontz, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

247526 Issued in CA

Practice address

2646 Dupont Dr Ste 250
Irvine, CA 92612-7677

Phone

(949) 261-2981

NPI assigned

Dec 1, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birth Choice

  • Community Health Clinic/Center
  • Irvine, CA
  • NPI 1508078882
  NPD (past)

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1770811895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SEADRIFT DR",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251950",
            "telephone_number": "949-721-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 DUPONT DR STE 250",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127677",
            "telephone_number": "949-261-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "THERESA",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "247526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "33-0150193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jong Hoon Kong, DMD
• Aashna Kono-Soosaipillai
• Grace Ellen Konstanzer, DC
• Ewa Kontny, M.D.
• Victor S Koo, DPT
• Matthew Edward Kopatz, CCC-SLP
• Jacqueline K Koppers, PSYD, LP
• Bryssa Koppie
• Korean American Center
• Christine Wang Kornu, MD

• Registered Nurse in Irvine, CA
• Providers in Irvine, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.