KELLY COPELAND (NPI# 1457741621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457741621 |
| Entity Type | Individual |
| Full Name | KELLY COPELAND |
| Credential | FNP |
| Practice Address |
2825 N Kansas Expy Springfield MO 65803 |
| Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
| Practice Telephone | 4178687026 |
| Practice Fax Number | 4178687033 |
| Mailing Telephone | 4172695712 |
| Mailing Fax Number | 4172697567 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014044258 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1457741621 | 05 | |
| MO | NP LICENSE | 2014044258 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816080 | Kelly Copeland | Pharmacist | 10825 Weather Vane Rd, Henrico, VA 23238-4157 | 2018-06-23 |
| 1144869884 | Kelly Copeland | Psychologist | 1200 High Ridge Rd, Stamford, CT 06905-1223 | 2019-12-28 |
| 1760940746 | Kelly Marie Copeland | Nurse Practitioner | 2230 Bryan Pl Ste 200, Midlothian, TX 76065-7148 | 2019-03-07 |
| 1114417987 | Kelly Copeland | Speech-Language Pathologist | 5401 Lawndale Dr, Greensboro, NC 27455-2127 | 2018-05-16 |
| 1376930164 | Kelly Copeland | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, 5th Floor, Columbus, OH 43210-1267 | 2015-04-20 |
| 1083055388 | Kelly K. Copeland | Counselor | 85-979 Mill St, Waianae, HI 96792-2645 | 2013-07-15 |
| Street Address |
2825 N KANSAS EXPY |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548297815 | Shanna D. Chapman | Nurse Practitioner | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-06-26 |
| 1578164596 | Christopher Glenn Conner | Pharmacist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2020-11-05 |
| 1144821760 | Alysia Vest | Pharmacist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2020-11-02 |
| 1891057964 | Toni R Mcginnis | Nurse Practitioner | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2012-06-13 |
| 1932422862 | Susan E. Foster | Pharmacist | 2825 N Kansas Expy, Walmart Pharmacy #0086, Springfield, MO 65803-1017 | 2010-03-06 |
| 1285806430 | Matthew D Mendenhall | Pharmacist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2008-03-27 |
| 1629142799 | Bob Honicutt | Hearing Instrument Specialist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-11-20 |
| 1164524401 | William K Hecox | Optometrist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-09-05 |
| 1952312068 | Wal-mart Stores East, Lp | Technician/Technologist | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-08-11 |
| 1245257666 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2825 N Kansas Expy, Springfield, MO 65803-1017 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
Please comment or provide details below to improve the information on KELLY COPELAND.
| 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.