Provider Demographics
NPI:1972502169
Name:COUCH, KARA SPRINGFIELD (NP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:SPRINGFIELD
Last Name:COUCH
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:900 23RD ST NW
Mailing Address - Street 2:WOUND HEALING AND LIMB PRESERVATION CENTER GROUND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2342
Mailing Address - Country:US
Mailing Address - Phone:202-715-4325
Mailing Address - Fax:202-715-4085
Practice Address - Street 1:900 23RD ST NW
Practice Address - Street 2:WOUND HEALING AND LIMB PRESERVATION CENTER GROUND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2342
Practice Address - Country:US
Practice Address - Phone:202-715-4325
Practice Address - Fax:202-715-4085
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN960009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q22978Medicare UPIN
DC014682M65Medicare PIN