Individual provider Active NPI

Daniel Evan Koehlinger, RN, WCC

  • Wound Care Registered Nurse
  • Burnsville, MS
National Provider Identifier
1861691701
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
R857592 Issued in MS
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

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2050710MSMDWound Care Registered Nurse
R857592MSMDWound 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.

Verify at the official NPI Registry.