Breonna Kopchak

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

211 Vine St
Follansbee, WV 26037-1750

Phone

(304) 374-9823

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1063006963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 VINE ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 VINE ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371750",
            "telephone_number": "304-374-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPCHAK",
        "first_name": "BREONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Johnston
• Bobobie Jo Julian, PHARMD
• Maria Kamarados
• Sondra Irene Kearns
• Deborah Keener
• Heidi Lynn Kuhn
• Amber Lackey
• Carla Lada-Hull
• Patricia A Lancaster
• Sandra Lang

• Community Health Worker in Follansbee, WV
• Providers in Follansbee, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.