Lynda Rae Kopishke, RN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

L10009924 Issued in DE

Practice address

109 North East Isles Drive
Suite 100
North East, MD 21901

Phone

(302) 528-8484

NPI assigned

Nov 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1861672016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NORTH EAST ISLES DRIVE",
            "address_2": "SUITE 100",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "21901",
            "telephone_number": "302-528-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NORTH EAST ISLES DRIVE",
            "address_2": "SUITE 100",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "21901",
            "telephone_number": "302-528-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPISHKE",
        "first_name": "LYNDA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R057715",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R057715",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MD",
            "license": "R057715",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "MD",
            "license": "R057715",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DE",
            "license": "L10009924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H. Reynolds, O.D., P.a.
• Gail Johnson-Miller
• Marie N Johnson, DDS
• Maketa Jolly, REGISTERED PSYCH
• Joseph George Kalathil
• Manjunath Medahalli Krishnappa
• Virginia R Lanczkowski
• Anna Lastra, DPT
• David A Leatherwood, D.D.S.
• Danielle Brittany Lee, LGPC

• Case Manager/Care Coordinator in North East, MD
• Providers in North East, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.