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JACOB D. KODRA
NPI 1770442394
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since January 20, 2026
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(619) 807-1160 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jacob D. Kodra NPPES

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

JACOB D. KODRA (NPI 1770442394) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1770442394
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB D. KODRA
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9150 W Watertown Plank Rd, Unit 409Wauwatosa, WI 53226 · (619) 807-1160
Phone(619) 807-1160
Sole ProprietorYes
Enumeration DateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
✔ NPI 1770442394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9200 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

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 Jacob Kodra's NPI number?

The NPI number for Jacob Kodra is 1770442394. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Where is Jacob Kodra located?

Jacob Kodra practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (619) 807-1160.

What is Jacob Kodra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Kodra was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.