EMILY NICOLE KOOPMAN (NPI# 1619459062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619459062 |
| Entity Type | Individual |
| Full Name | EMILY NICOLE KOOPMAN |
| Practice Address |
399 Powder Creek Way Dallas GA 30157 |
| Practice Telephone | 6783146207 |
| Mailing Telephone | 6783146207 |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2018-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
399 POWDER CREEK WAY |
| City | DALLAS |
| State | GA |
| Zip Code | 30157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| 1114103686 | Christine J. Mezza | Counselor | 2260 Gold Mine Rd, Dallas, GA 30157 | 2008-01-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510876 | Katrina Mascarella | Specialist/Technologist | 8293 Southwestern Blvd Apt 1108, Dallas, TX 75206-2158 | 2020-08-28 |
| 1023634664 | Tiara Ford | Specialist/Technologist | 4785 Asher Pl, Dallas, TX 75204-6000 | 2020-06-19 |
| 1306460241 | Baylee Gorzelski | Specialist/Technologist | 327 Blackberry Run Trl, Dallas, GA 30132-1187 | 2020-06-06 |
| 1972139111 | Taelar Smith | Specialist/Technologist | 5515 Arapaho Rd, Dallas, TX 75248-3692 | 2020-03-19 |
| 1598399214 | Morgan Edwards | Specialist/Technologist | 2632 S Marsalis Ave, Dallas, TX 75216-3021 | 2020-03-03 |
| 1306477716 | Steven Scott Cowan | Specialist/Technologist | 9036 Westglen Dr, Dallas, TX 75228-4125 | 2020-02-04 |
| 1275173395 | Paola Cabrera | Specialist/Technologist | 10842 Channel Dr, Dallas, TX 75229-3711 | 2020-01-07 |
| 1649816943 | Masashi Yamamura | Specialist/Technologist | 3337 Kiest Forest Ct, Dallas, TX 75233-2552 | 2019-11-21 |
| 1316580780 | Lizbeth Paola Alvarez Roldan | Specialist/Technologist | 341 Crenshaw Dr, Dallas, TX 75217-7714 | 2019-10-17 |
| 1548810286 | Yosef Presburger | Specialist/Technologist | 5995 Summerside Dr Ste 796424, Dallas, TX 75248-9992 | 2019-09-15 |
| Find all providers in DALLAS | ||||
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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.