Maryrose Kopchinsky, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

207059 Issued in NC

Practice address

8204 Buena Vista Dr
Denver, NC 28037-7306

Phone

(704) 840-2061

NPI assigned

Oct 5, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1710659933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 BUENA VISTA DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377306",
            "telephone_number": "704-840-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 BUENA VISTA DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377306",
            "telephone_number": "704-840-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPCHINSKY",
        "first_name": "MARYROSE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NC",
            "license": "207059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Steven Kalkan, DC
• Emma Kelley
• Amie Elizabeth Kirkby, DPT
• Karen Patricia Kleiner
• Justin Michael Kolesar, PA
• Karen Marie Koutsky
• Keira Rochelle Kuhar
• Brooke Lachance, LCMHC, NCC
• Lakeshore Pediatric Center, P.a.
• Lakewood Care Center

• Lactation Consultant (Registered Nurse) in Denver, NC
• Providers in Denver, NC by specialty
• Lactation Consultant (Registered Nurse) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.