Organization Active NPI

Juliann Koch, CRNP-PMH, LLC

  • Adult Mental Health Clinic/Center
  • Rockville, MD
National Provider Identifier
1801638168
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JULIANN KOCH, CRNP-PMH, LLC
Practice address
11326 Hollowstone Dr
Rockville, MD 20852-3118
Phone
(240) 338-5770
NPI assigned
Jun 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juliann Koch, NURSE PRACTITIONERNPI 1285276576
Title
PMH Nurse Practitioner
Phone
(240) 338-5770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

11326 Hollowstone Dr
Rockville, MD 20852-3118

Mailing address

11326 Hollowstone Dr
Rockville, MD 20852-3118
Phone (240) 338-5770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1801638168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11326 HOLLOWSTONE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523118",
            "telephone_number": "240-338-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11326 HOLLOWSTONE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523118",
            "telephone_number": "240-338-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANN KOCH, CRNP-PMH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_title_or_position": "PMH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-338-5770",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.