TRACEY LASHAE COPELAND (NPI# 1265047674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265047674 |
Entity Type | Individual |
Full Name | TRACEY LASHAE COPELAND |
Practice Address |
139 Ralph Mcgill Blvd Ne # 5 Atlanta GA 30308-3339 |
Practice Telephone | 4048042997 |
Mailing Telephone | 4048042997 |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
GA | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 83-12510959 | 05 |
Street Address |
139 RALPH MCGILL BLVD NE # 5 |
City | ATLANTA |
State | GA |
Zip Code | 30308-3339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
Find all providers in zip 30308 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417570904 | Asase Ye Duru Holistic,llc | Nutritionist | 1201 W Peachtree St Nw, Atlanta, GA 30309-3449 | 2020-05-19 |
1609312487 | Alamo Health Group, LLC | Nutritionist | 4816 Ashford Ln, Atlanta, GA 30338-2650 | 2017-01-17 |
1093261034 | Amy Lambert | Nutritionist | 1575 Mclendon Ave Ne, Atlanta, GA 30307-2167 | 2016-08-30 |
1114311990 | Keena Stephens | Nutritionist | 211 Cove Pl, Atlanta, GA 30339-5207 | 2015-03-19 |
1659566503 | Jacqueline Mt Crenshaw | Nutritionist | 1004 Dill Ave Sw, Atlanta, GA 30310-4109 | 2007-09-12 |
1275756918 | Noretta Gail Bunyon | Nutritionist | 515 Fairburn Rd Sw, Suite 350, Atlanta, GA 30331-2012 | 2007-04-11 |
1942834700 | Corinne Rose Jacobs | Nutritionist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2020-03-02 |
1730510199 | Francoise Maillet | Nutritionist | 1365 Clifton Rd Ne, 3 Rd Floor, Bldg A, Atlanta, GA 30322-1013 | 2013-12-10 |
1235446758 | Lena Danielle Beal | Nutritionist | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2010-09-03 |
1598079907 | Atlanta Wellness Md PC | Nutritionist | 2001 Peachtree Rd Ne, Suite 650, Atlanta, GA 30309-1476 | 2010-07-28 |
Find all providers in ATLANTA |
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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.