Sandra Kovachi, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP11357 Issued in AZ

Practice address

4609 Village Green Dr
Roswell, GA 30075-7642

Phone

(770) 241-4133

NPI assigned

Aug 15, 2016

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1861946253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 VILLAGE GREEN DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757642",
            "telephone_number": "770-241-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 VILLAGE GREEN DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757642",
            "telephone_number": "770-241-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACHI",
        "first_name": "SANDRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve J Konsin, PHARMACIST
• Yolanda Camacho Kortman, DC
• Amanda Lee Kossick, DMD
• Dean P Kostakos, D.P.M.
• Lauren Elizabeth Kotval, OTR/L
• Maryann Koval
• Jennifer F Kovanis, MS OTR/L
• Steven Kovner, PH.D.
• Richard A Krakow, M.D.
• Catherine Williams Kramer, MSPT

• Psychiatric/Mental Health Nurse Practitioner in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.