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MARRIE KOCH
NPI 1053898114
Nurse Practitioner - Family in Ponce Inlet, FL

Active since July 22, 2018
112 OLD CARRIAGE RD, PONCE INLET, FL 32127(502) 417-1637 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2023, Jul 22, 2018 (2 updates tracked since 2018).

About Marrie Koch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARRIE KOCH (NPI 1053898114) is an individual family provider in Ponce Inlet, Florida, licensed in Florida (F06220492) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1053898114
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARRIE KOCH
Location Address112 OLD CARRIAGE RDPonce Inlet, FL 32127-6910
Mailing Address112 Old Carriage RdPonce Inlet, FL 32127-6910 · (502) 417-1637
Phone(502) 417-1637
Sole ProprietorNo
Enumeration DateJuly 22, 2018
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1053898114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · F06220492
Also ListedRegistered NurseTaxonomy 163W00000X · License RN441736 (FL)
112 OLD CARRIAGE RD, Ponce Inlet, FL 32127
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marrie Koch's NPI number?

The NPI number for Marrie Koch is 1053898114. It was assigned to this individual provider in the NPPES registry on July 22, 2018.

Where is Marrie Koch located?

Marrie Koch practices at 112 Old Carriage Rd, Ponce Inlet, FL 32127. The listed phone number is (502) 417-1637.

What is Marrie Koch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marrie Koch was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.