Individual Healthcare Provider
Anthony Koch, PMHNP
Provider's NPPES record last updated: March 19, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1821676669
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Dallas, Oregon
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:57 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Registered Nurse
Psychiatric/Mental Health
Nursing Service Providers
Definition to come...
Taxonomy code 163WP0808XRegistered Nurse
Nursing Service Providers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Taxonomy code 163W00000X
Provider-Reported License Information
- Nurse Practitioner (California)
- NPF95024532
- Nurse Practitioner (Washington)
- AP61289252
- Nurse Practitioner (Ohio)
- 0029697
- Nurse Practitioner (Oregon)
- 10009669
- Registered Nurse (Washington)
- RN61287688
- Registered Nurse (Ohio)
- RN.445266
Practice Locations
Practice Location
182 Sw Academy St
Dallas, Oregon 97338-1996
Phone: (503) 623-9289
Additional Practice Location
145 S Worthen St
Wenatchee, Washington 98801-3081
Phone: (509) 965-7100
Additional Practice Location
199 Oak St
Pembroke, Massachusetts 02359-1953
Phone: (781) 829-7000
Additional Practice Location
1019 112th St Sw
Everett, Washington 98204-4875
Phone: (425) 551-6200
Additional Practice Location
6923 Gibson Rd
Canfield, Ohio 44406-8653
Phone: (330) 398-1132
Additional Practice Location
2180 Johnson Ave
San Luis Obispo, California 93401-4558
Phone: (805) 781-4768
Record Information
- Enumeration Date
- April 1, 2021
- Provider's NPPES Record Last Updated
- March 19, 2026
- Certification Date
- March 19, 2026
- NPISignal NPPES Dataset
- August 2026
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