Individual provider Active NPI

Katherine A Kopystanski, MS

  • Speech-Language Pathologist
  • Scarborough, ME
National Provider Identifier
1811468572
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP3072 Issued in ME
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

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
SP3072MEMDSpeech-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.

Verify at the official NPI Registry.