Active NPI
Daniel Evan Koehlinger, RN, WCC
- Wound Care Registered Nurse
- Burnsville, MS
National Provider Identifier
1861691701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- R857592
- Practice address
- 246 County Road 302
Burnsville, MS 38833-9248 - Phone
- (662) 427-9240
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | R857592 | MS | Primary |
| Wound Care Registered Nurse | 163WW0000X | 2050710 | MS |
Addresses
Primary practice location
246 County Road 302
Burnsville, MS 38833-9248
Mailing address
246 County Road 302
Burnsville, MS 38833-9248
Phone (662) 427-9240
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 |
|---|---|---|---|
| 2050710 | MS | MD | Wound Care Registered Nurse |
| R857592 | MS | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1861691701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 COUNTY ROAD 302",
"city": "BURNSVILLE",
"state": "MS",
"postal_code": "388339248",
"telephone_number": "662-427-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 COUNTY ROAD 302",
"city": "BURNSVILLE",
"state": "MS",
"postal_code": "388339248",
"telephone_number": "662-427-9240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLINGER",
"first_name": "DANIEL",
"middle_name": "EVAN",
"name_prefix": "Mr.",
"credential": "RN, WCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "MS",
"license": "R857592",
"primary": true
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "MS",
"license": "2050710",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.