Provider Type Icon

JOAN STACK KOVACH APRN BC NPI 1467483230


NPI Information

NPI: 1467483230
Provider Name: JOAN STACK KOVACH, APRN, BC
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Individual
Address:
MCLEAN HOSPITAL SOUTHEAST LOCATION
940 BELMONT STREET
BROCKTON, MA
ZIP 02301
Phone: (508) 894-8316
Get Directions

Joan Stack Kovach, APRN, BC is a clinical nurse specialist in Brockton, MA. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Joan Stack Kovach, APRN, BC NPI is 1467483230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MCLEAN HOSPITAL SOUTHEAST LOCATION
940 BELMONT STREET
BROCKTON, MA
ZIP 02301
Phone: (508) 894-8316
Fax: (508) 894-8334

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364S00000XClinical Nurse Specialist111881MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NS0676MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
2PN0237OTHERMASSACHUSETTSBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.