Mary Colleen Koebbe, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

096789 Issued in MO

Practice address

9568 Pine Spray CT
Saint Louis, MO 63126-2610

Phone

(314) 842-4529

NPI assigned

May 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Colleen Murphy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1902031255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9568 PINE SPRAY CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631262610",
            "telephone_number": "314-842-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9568 PINE SPRAY CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631262610",
            "telephone_number": "314-842-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEBBE",
        "first_name": "MARY",
        "middle_name": "COLLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "096789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MURPHY",
            "middle_name": "COLLEEN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shammah Kodjo-Soroh, MD
• Holly Hiroko Kodner, MD
• Ira Joe Kodner, MD
• Asha Kodwani, MD
• Jennifer Anne Koeb, ACNP
• Rikki Lynn Koebler, DO
• Jodi Koechner, ARNP
• Judith Ann Koehler, M.A., LPC, NCC
• Kristen Lois Koehly, PHARMD
• Carrie A. Koehn, M.S.CCC-SLP

• Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.