MRS. KIMBERLY DAWN COPELAND (NPI# 1093086084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093086084 |
Entity Type | Individual |
Full Name | MRS. KIMBERLY DAWN COPELAND |
Practice Address |
16226 W Burchett Rd Tahlequah OK 74464-0366 |
Practice Telephone | 9184565374 |
Mailing Telephone | 9184565374 |
Enumeration Date | 2012-01-23 |
Last Update Date | 2012-01-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902300031 | Kimberly Copeland | Behavior Technician | 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 | 2018-03-22 |
1811137136 | Kimberly Gayle Copeland | Psychologist | 5909 West Loop S Ste 420, Bellaire, TX 77401-2405 | 2009-02-26 |
1396766325 | Kimberly Copeland | Counselor | 3717 27th St, Lubbock, TX 79410-2037 | 2006-07-23 |
1114948668 | Kimberly H. Copeland | Emergency Medicine | 2121 Ne 139th St, Suite 200, Vancouver, WA 98686-2316 | 2006-07-21 |
1942851480 | Kimberly Copeland | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-26 |
1962756882 | Kimberly Ann Copeland | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2012-10-30 |
1205142312 | Kimberly A. Copeland | Psychologist | 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 | 2010-08-26 |
Street Address |
16226 W BURCHETT RD |
City | TAHLEQUAH |
State | OK |
Zip Code | 74464-0366 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
Find all providers in zip 74464 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881943496 | Joshua P. Bickham | Contractor | 15481 N. Jarvis Rd., Tahlequah, OK 74464 | 2012-08-29 |
1932470473 | Kelly Renee Howard | Contractor | 17570 W Ellis Rd, Tahlequah, OK 74464-0641 | 2012-01-13 |
1669849220 | Kelly Huntley | Contractor | 21132 E 640 Rd, Tahlequah, OK 74464-8775 | 2015-08-28 |
1912347634 | Geoff D Webb | Contractor | 15481 N Jarvis Rd, Tahlequah, OK 74464-0233 | 2013-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366051963 | Omnicare365, Inc. | Contractor | 3588 Tom Smith Rd, Durant, OK 74701-6025 | 2020-07-29 |
1639700214 | Tohnyonah Jackson | Contractor | 7500 Knight Lake Dr Apt 123, Oklahoma City, OK 73132-6019 | 2020-01-31 |
1427693019 | Embrace Life, LLC | Contractor | 8521 Arlington Dr, Oklahoma City, OK 73132-4752 | 2019-11-07 |
1013558725 | Antwone Robinson | Contractor | 4407 Sw Hickory Ln, Lawton, OK 73505-7506 | 2019-10-03 |
1487200549 | Jason Alexander Cortes | Contractor | 2717 Nw Denver Ave, Lawton, OK 73505-3942 | 2019-08-14 |
1104485747 | Clayton Lucas | Contractor | 224 Springtree Dr, Harrah, OK 73045-4517 | 2019-06-07 |
1861059388 | 15th Street Clinic | Contractor | 180 W 15th St Ste 100, Edmond, OK 73013-3601 | 2019-05-20 |
1336615046 | Jera D Burtin | Contractor | 220 N Moreland Ave, Watonga, OK 73772-4038 | 2018-10-19 |
1346734282 | Sherry Deanne Ramsey | Contractor | 714 S Mcdonald St, Stillwater, OK 74074-4213 | 2018-06-14 |
1851897474 | Jami Michelle Reed | Contractor | 2256 Nw 164th, Edmond, OK 73013-1227 | 2018-04-03 |
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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.