Active NPI
Katherine A Kopystanski, MS
- Speech-Language Pathologist
- Scarborough, ME
National Provider Identifier
1811468572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP3072
- Practice address
- 8 Science Park Rd
Scarborough, ME 04074-7169 - Phone
- (207) 761-8402
- NPI assigned
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP3072 | ME | Primary |
Addresses
Primary practice location
8 Science Park Rd
Scarborough, ME 04074-7169
Mailing address
4703 W 52ND Ave Unit 506
Denver, CO 80212-4071
Phone (561) 716-9804
Other practice location 1
1552 S Flamingo Way
Denver, CO 80222-3910
Phone (720) 980-1985
Other names 1
- Ms. Katie A Kopystanski
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP3072 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1811468572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4703 W 52ND AVE UNIT 506",
"city": "DENVER",
"state": "CO",
"postal_code": "802124071",
"telephone_number": "561-716-9804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 SCIENCE PARK RD",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747169",
"telephone_number": "207-761-8402"
}
],
"practiceLocations": [
{
"address_1": "1552 S Flamingo Way",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802223910",
"country_code": "US",
"telephone_number": "720-980-1985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPYSTANSKI",
"first_name": "KATHERINE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP3072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "KOPYSTANSKI",
"middle_name": "A",
"prefix": "MS.",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.