Stacy Koch

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

206566 Issued in NY

Practice address

1 Conway CT
Troy, NY 12180-2108

Phone

(518) 274-6525

Fax

(518) 274-6511

NPI assigned

Nov 3, 2011

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

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1851677975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GARNER RD",
            "address_2": "APT C-4",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120189509",
            "telephone_number": "518-274-6525",
            "fax_number": "518-274-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CONWAY CT",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802108",
            "telephone_number": "518-274-6525",
            "fax_number": "518-274-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "206566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidra Cassandra Knauth, FNP
• Sophie Knittle, BS, LAT, ATC
• Ashley Rose Knutson, FNP
• Loren Fionn Knyper, CRNA
• Jude Ann Koblenzer, ANP-BC
• Patricia Ann Koffman, LPN
• Alyssa Rose Kontoh, LMHC
• Kathryn Koonce, RN
• Miranda Kopcha, PA-C
• Yelena Korobkova, M.D.

• Licensed Practical Nurse in Troy, NY
• Providers in Troy, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.