REBECCA COPPAGE (NPI# 1053758979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053758979 |
| Entity Type | Individual |
| Full Name | REBECCA COPPAGE |
| Practice Address |
2401 Gillham Rd Kansas City MO 64108-4619 |
| Practice Telephone | 8162343000 |
| Mailing Telephone | 8162343000 |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2013-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
2013014535 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2401 GILLHAM RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921533 | Brent Ellis Cully | Radiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2005-06-13 |
| 1649878265 | Noelle Elise St. Jacques | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-10-15 |
| 1376150243 | Casey M Bradshaw | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-25 |
| 1457967606 | Jennifer Coil | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-22 |
| 1396359923 | Kelli Nicole Ayars | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1407460058 | Eric Bowles | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1740892504 | Katlyn Kelley | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-21 |
| 1528670759 | Sarah Carstensen | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-19 |
| 1619588373 | Kacie E Cass | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-14 |
| 1932719259 | Maureen Elizabeth Guignon | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719259 | Maureen Elizabeth Guignon | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-01 |
| 1902424575 | Kathryn Whitney Coop | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-10 |
| 1447799655 | Jennifer Leath | Nurse Practitioner | 2401 Gillham Rd, Provider Enrollment, Kansas City, MO 64108-4619 | 2017-02-21 |
| 1194278887 | Laura Beth Martis | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-07-28 |
| 1215480272 | Katherine Anne Bonessa | Nurse Practitioner | 2401 Gillham Rd, Fetal Cardiology: 3rd Floor Hall Tower, Kansas City, MO 64108-4619 | 2016-07-26 |
| 1447690680 | Darcie Marie Al-hassan | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-07-02 |
| 1073959979 | Metta Katherine Siebert | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108 | 2013-05-17 |
| 1023075439 | Delores Anne Mckee | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-04-28 |
| 1871559062 | Barbara Mclain Haney | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574837 | Alexandra N Bickhaus | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-08-19 |
| 1285112276 | Nichole Gehl | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2018-08-01 |
| 1477063253 | Ashley N Reese | Nurse Practitioner | 35 Goodwin Dr, Festus, MO 63028-4122 | 2017-10-05 |
| 1518312966 | Rebecca Leah Tomlinson Heaven | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-05-03 |
| 1295137271 | Mary Lorraine Aubrey | Nurse Practitioner | 1 Childrens Pl, 4250, Saint Louis, MO 63110-1002 | 2014-09-21 |
| 1043555253 | Gina M Quiles | Nurse Practitioner | 1 Childrens Pl, 4s50, Saint Louis, MO 63110-1002 | 2012-11-29 |
| 1225306269 | Carolyn Anne Sullivan | Nurse Practitioner | 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 | 2011-12-05 |
| 1437456431 | Lynn C Suresh | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-02-28 |
| 1679898910 | Kelly Kathleen Murawski | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2010-03-30 |
| 1760719249 | Anne Marie Gildehaus | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-11-04 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.