Rita Carol Koon, FNP BC
Nurse Practitioner, Family in Union City, TN. Individual provider (NPI-1).
NPI number1649500083
StatusActive
Last updated in NPPESJul 30, 2020
Details
- NPI
- 1649500083
- Entity type
- Individual (NPI-1)
- Name
- Rita Carol Koon
- Credential
- FNP BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2010
- Certification date
- Jul 30, 2020
- Last updated
- Jul 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APN0000014862 | TN | Yes |
| 163W00000X | Registered Nurse | RN0000106605 | TN |
Practice location
702 Sherrill St Ste BUnion City, TN 38261-5891
Phone 731-885-8884
Mailing address
702 Sherrill St Ste BUnion City, TN 38261-5891
Phone 731-885-8884
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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