Individual provider Active NPI

Jan Krzysztof Stopczyk, RN

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1396218111
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
931412 Issued in TX
Practice address
14114 Austin Hollow CT
Houston, TX 77044-2018
Phone
(832) 764-3038
NPI assigned
Jan 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 931412 TX Primary

Addresses

Primary practice location

14114 Austin Hollow CT
Houston, TX 77044-2018

Mailing address

14114 Austin Hollow CT
Houston, TX 77044-2018
Phone (832) 764-3038

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
931412TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1396218111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 AUSTIN HOLLOW CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442018",
            "telephone_number": "832-764-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 AUSTIN HOLLOW CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442018",
            "telephone_number": "832-764-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOPCZYK",
        "first_name": "JAN",
        "middle_name": "KRZYSZTOF",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "931412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.