TAMARA COPELAND


Address: 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478
Phone: 6188994000

TAMARA COPELAND (NPI# 1295192805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295192805
Entity Type Individual
Full Name TAMARA COPELAND
Practice Address 2 Good Samaritan Way Ste 420
Mount Vernon
IL 62864-2478
Mailing Address Po Box 955860
Saint Louis
MO 63195-2478
Practice Telephone 6188994000
Mailing Telephone 6364985944
Enumeration Date 2016-01-27
Last Update Date 2020-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 1295192805 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.013446 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
420 N Pleasant Ave, Centralia, IL 628013006 6184367536

Other Providers TAMARA COPELAND

NPI Name Taxonomy Address Enumeration
1780221994 Tamara Joy Copeland Speech-Language Pathologist 3211 82nd Ave, Landover, MD 20785-2708 2019-12-06
1457709065 Tamara Copeland Family Medicine 1530 N 7th St Ste 200, Terre Haute, IN 47807-1061 2016-05-25
1295971836 Tamara Lee Copeland Physician Assistant 8401 Hwy 111, Byrdstown, TN 38549-1006 2009-01-04

Office Location

Street Address 2 GOOD SAMARITAN WAY STE 420
City MOUNT VERNON
State IL
Zip Code 62864-2478

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841268521 Gregory Szych Internal Medicine 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2006-03-09
1215311683 Chandra Kanth Chaturvedula Internal Medicine 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2015-07-16
1144649856 Tyler Wishau Podiatrist 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2014-04-09
1194022541 Faizan Ali Khan Internal Medicine 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2011-02-22
1689810855 Marc Louis Sabatino Physical Medicine & Rehabilitation 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2008-12-18
1396919544 Naga Srinivas Sirikonda Internal Medicine 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2008-04-18
1437210341 Richard Chernecky Internal Medicine 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2006-12-13
1649280793 Louis Clarence Remynse IIi Urology 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2006-08-09
1841239316 Michelle Burwell Physician Assistant 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2006-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
Find all providers in zip 62864

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003421066 Amantha Theodore Nurse Practitioner 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743 2020-09-15
1093320392 Ryan Michael Winder Nurse Practitioner 615 A Ave Se, Mount Vernon, IA 52314-1532 2020-09-14
1154969103 Sarah Jacqueline Lim-dwyer Nurse Practitioner 1400 East Kincaid Street, Mount Vernon, WA 98274-4127 2019-12-19
1306481056 Julie Marie Forbes-laborde Nurse Practitioner 27 Beekman Ave Apt 2, Mount Vernon, NY 10553-1491 2019-11-15
1447819305 Gladys E Aideyan Nurse Practitioner 130 Stuyvesant Plz, Mount Vernon, NY 10552-1413 2019-06-13
1417467929 Shernette T Suer Nurse Practitioner 105 Stevens Ave Ste 506, Mount Vernon, NY 10550-2683 2017-10-10
1194254946 Amy Haibel Nurse Practitioner 206 S Mulberry St Ste B, Mount Vernon, OH 43050-3331 2017-06-06
1699216697 Diana Mcnear Nurse Practitioner 421 S 3rd Ave, Mount Vernon, NY 10550-4507 2017-03-10
1598200867 Vivienne Iona Bartley Nurse Practitioner 115 Primrose Avenue, Mount Vernon, NY 10552 2016-12-22
1144772955 Tahiesha Tolbert Nurse Practitioner 153 Stevens Ave Ste 4, Mount Vernon, NY 10550-2543 2016-10-27
Find all providers in MOUNT VERNON

Competitor

Search similar providers

City MOUNT VERNON
Zip Code 62864

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Dataset Information

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.

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