Active NPI
Robert Kopec, DNP, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1053746867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60411730
- Practice address
- 5702 N 26TH St Ste 1a
Tacoma, WA 98407-2406 - Phone
- (253) 503-6761
- NPI assigned
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60411730 | WA | Primary |
Addresses
Primary practice location
5702 N 26TH St Ste 1a
Tacoma, WA 98407-2406
Mailing address
4009 Bridgeport Way W
Suite 1a
University Place, WA 98466-4326
Phone (253) 503-6761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60411730 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1053746867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 BRIDGEPORT WAY W",
"address_2": "SUITE 1A",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664326",
"telephone_number": "253-503-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5702 N 26TH ST STE 1A",
"city": "TACOMA",
"state": "WA",
"postal_code": "984072406",
"telephone_number": "253-503-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPEC",
"first_name": "ROBERT",
"credential": "DNP, ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60411730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.