Active NPI
Julie A Koep, RN
- Registered Nurse
- Mora, MN
National Provider Identifier
1811161201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 160754-1
- Practice address
- 38 Union St N
Mora, MN 55051-1326 - Phone
- (320) 679-1245
- Fax
- (763) 552-1268
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 160754-1 | MN | Primary |
Addresses
Primary practice location
38 Union St N
Mora, MN 55051-1326
Mailing address
501 4TH St S
Princeton, MN 55371-2031
Phone (763) 633-0648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R 160754-1 | Other | MN | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 160754-1 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1811161201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 4TH ST S",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553712031",
"telephone_number": "763-633-0648",
"fax_number": "763-633-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 UNION ST N",
"city": "MORA",
"state": "MN",
"postal_code": "550511326",
"telephone_number": "320-679-1245",
"fax_number": "763-552-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEP",
"first_name": "JULIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 160754-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "R 160754-1",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mora, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.