Active NPI
Maria Lane Koch, RN
- Personal Care Attendant
- Webster, ND
National Provider Identifier
1952909111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 8449 65TH St NE
Webster, ND 58382-9609 - Phone
- (701) 350-1049
- NPI assigned
- Oct 10, 2020
- Last updated
- Oct 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | Primary |
Addresses
Primary practice location
8449 65TH St NE
Webster, ND 58382-9609
Mailing address
8449 65TH St NE
Webster, ND 58382-9609
Phone (701) 350-1049
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602288000000",
"number": "1952909111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8449 65TH ST NE",
"city": "WEBSTER",
"state": "ND",
"postal_code": "583829609",
"telephone_number": "701-350-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8449 65TH ST NE",
"city": "WEBSTER",
"state": "ND",
"postal_code": "583829609",
"telephone_number": "701-350-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "MARIA",
"middle_name": "LANE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-10",
"last_updated": "2020-10-10",
"certification_date": "2020-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.