Individual provider Active NPI

Jennifer Denise Kopecki, BC-HIS

  • Hearing Instrument Specialist
  • San Marcos, TX
National Provider Identifier
1932457793
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
80493 Issued in TX
Practice address
1920 Corporate Dr Ste B205
San Marcos, TX 78666-6287
Phone
(512) 667-6904
Fax
(512) 667-7138
NPI assigned
Aug 27, 2012
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 80493 TX Primary

Addresses

Primary practice location

1920 Corporate Dr Ste B205
San Marcos, TX 78666-6287

Mailing address

1920 Corporate Dr Ste B205
San Marcos, TX 78666-6287
Phone (512) 667-6904

Other practice location 1

519 N King St Ste 104
Seguin, TX 78155-4859
Phone (830) 399-4195

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

State licenses

LicenseStateTypeSpecialty
80493TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
SBK Holdings, LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

1920 Corporate Dr
Ste B205
San Marcos, TX 78666
Phone (512) 667-6904

519 N King St
Ste 104
Seguin, TX 78155
Phone (830) 303-5396

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1932457793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR STE B205",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666287",
            "telephone_number": "512-667-6904",
            "fax_number": "512-667-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR STE B205",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666287",
            "telephone_number": "512-667-6904",
            "fax_number": "512-667-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 N King St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781554859",
            "country_code": "US",
            "telephone_number": "830-399-4195",
            "fax_number": "830-433-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPECKI",
        "first_name": "JENNIFER",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.