Geraldine S. Koppenaal, RNCS

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

116810 Issued in MA

Practice address

106 West Foster Street
Melrose, MA 02176

Phone

(781) 665-4295

NPI assigned

May 24, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1629023940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W FOSTER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763813",
            "telephone_number": "781-665-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WEST FOSTER STREET",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-665-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPENAAL",
        "first_name": "GERALDINE",
        "middle_name": "S.",
        "credential": "RNCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "116810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0036916",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PN0658",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Knight
• Jacob Knudsen
• Alexandra Koerten, RN, IBCLC
• Laura Konaxis, LICSW
• Miranda L Kopnisky, PA-C
• Steven Ira Kornbleuth, MD
• Sybil Meg Kramer, MD
• Martha S Krikeles, MD
• Vicki Shangraw Kvedar, MD
• Melissa M Lackey, D.M.D.,M.D.

• Psychiatric/Mental Health Registered Nurse in Melrose, MA
• Providers in Melrose, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.