Kathy Annette Kopec

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5698 Issued in CT

Practice address

52 Beach Rd Ste 101
Fairfield, CT 06824-6017

Phone

(203) 692-2180

NPI assigned

Apr 12, 2022

Last updated

Jun 16, 2022By 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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monica Jain & Associates,LLC

  • Internal Medicine Physician
  • Trumbull, CT
  • NPI 1356721385
  Medicare reassignment

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1265174957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WEST AVE APT 5",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025545",
            "telephone_number": "845-803-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BEACH RD STE 101",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246017",
            "telephone_number": "203-692-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 West Ave Apt 5",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069025545",
            "country_code": "US",
            "telephone_number": "845-803-9658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPEC",
        "first_name": "KATHY",
        "middle_name": "ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "5698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Kochersperger
• Jason W Kody
• Koenig Family Therapy LLC
• Lara Beth Kokenos, PA
• Nicholas C Kopazna, LPC
• Salvatore Korecki, D.D.S.
• Koryne Irene Koutouvides
• Wendy Buckmir Kovacs, R.D.H.
• Jody Michael Koval, LPC
• Stephanie Michele Kovis

• Medical Physician Assistant in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.