Heather Kopesky

Primary specialty

MidwifeTaxonomy code 176B00000X

License

252-49 Issued in WI

Practice address

990 Plank Rd
Menasha, WI 54952-2936

Phone

(920) 882-6200

Fax

(920) 239-6894

NPI assigned

Sep 25, 2017

Last updated

Jan 23, 2024By 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

State licenses

Practice roles

Locations

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.

• Alba Birth Center LLC

  • Midwife
  • Menasha, WI
  • NPI 1013379742
  NPD
• Appleton Community Birth Center

  • Birthing Clinic/Center
  • Appleton, WI
  • NPI 1285980318
  NPD

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1356850119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PLANK RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522936",
            "telephone_number": "920-882-6200",
            "fax_number": "920-239-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PLANK RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522936",
            "telephone_number": "920-882-6200",
            "fax_number": "920-239-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPESKY",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "252-49",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Kline, LCPC, LPC
• Gloria Kloehn
• Susan Joan Knuth, OTR/L, ATP
• Kayla M Koeppl, SAC-IT
• Branden J Kooiman, APNP
• Lisa M. Kositzke, R.D.H.
• Bryan Eugene Krause, LCSW
• Westscot G Krieger, MD
• Carrie F Kubasta, CSAC,SW
• Casey Kufahl

• Midwife in Menasha, WI
• Providers in Menasha, WI by specialty
• Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.