Active NPI
Deeann Leslie Kopczynski
- Licensed Practical Nurse
- Anchorage, AK
National Provider Identifier
1538330006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 9769
- Practice address
- 711 H St
#100
Anchorage, AK 99501-3446 - Phone
- (907) 770-0862
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 00030570602 | ID | |
| Licensed Practical Nurse | 164W00000X | 9769 | AK | Primary |
Addresses
Primary practice location
711 H St
#100
Anchorage, AK 99501-3446
Mailing address
711 H St
#100
Anchorage, AK 99501-3446
Phone (907) 770-0862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805504200 | Medicaid | ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9769 | AK | MD | Psychiatric/Mental Health Registered Nurse |
| 00030570602 | ID | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1538330006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 H ST",
"address_2": "#100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013446",
"telephone_number": "907-770-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 H ST",
"address_2": "#100",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013446",
"telephone_number": "907-770-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPCZYNSKI",
"first_name": "DEEANN",
"middle_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-12",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "ID",
"license": "00030570602",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AK",
"license": "9769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805504200",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.