Julie Antonette Koob, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27069194A Issued in IN

Practice address

1990 N Calle Rinconado
Vail, AZ 85641-9328

Phone

(520) 286-5707

NPI assigned

Apr 3, 2014

Last updated

Apr 3, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1992123152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 N CALLE RINCONADO",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856419328",
            "telephone_number": "520-286-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N CALLE RINCONADO",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856419328",
            "telephone_number": "520-286-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOB",
        "first_name": "JULIE",
        "middle_name": "ANTONETTE",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27069194A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Kinder, FNP, IBCLC
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• L & L Medical Services, LLC
• Lauren Impraim Counseling, LLC
• Natalia Leon

• Licensed Practical Nurse in Vail, AZ
• Providers in Vail, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.