Judith Kompanik

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN412822 Issued in OH

Practice address

1344 5TH Ave
Youngstown, OH 44504-1703

Phone

(330) 467-7131

Fax

(216) 591-0223

NPI assigned

Oct 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• State of Ohio Office of Budget and Management State Accounting

  • Nursing Facility/Intermediate Care Facility
  • Sandusky, OH
  • NPI 1790732576
  NPD (past)
• State of Ohio Office of Budget and MGMT, State Accounting

  • Case Management Agency
  • Youngstown, OH
  • NPI 1467421438
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1396211348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 5TH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041703",
            "telephone_number": "330-467-7131",
            "fax_number": "216-591-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 5TH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041703",
            "telephone_number": "330-467-7131",
            "fax_number": "216-591-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMPANIK",
        "first_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN412822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venkata S. K. Kollipara, M.D.
• Venkateswara Kumar Kollipara, M.D
• Gheorghiy Viktorovich Kolosovsky, PT
• Peter C Koma, C.R.N.A.
• Kate Komlanc, ED.S, NCSP
• Jason Andrew Komsa
• Lisa M Koniowsky, PHYSICAL THERAPIST
• Ali Kooshkabadi, MD
• Adam Paul Kopacz, CRNA
• Michael Carl Koprucki, MD

• Adult Psychiatric/Mental Health Registered Nurse in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.