MR. RAYMOND COPPOCK (NPI# 1972716959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972716959 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND COPPOCK |
| Credential | CDCII, BHAII |
| Practice Address |
333 Shore Ave Kotzebue AK 99752-9800 |
| Mailing Address |
Po Box 256 Kotzebue AK 99752-0256 |
| Practice Telephone | 9074427640 |
| Practice Fax Number | 9074427749 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1331 | AK | Behavioral Health & Social Service Providers |
| N | 172V00000X | Community Health Worker | AK | Other Service Providers |
| Street Address |
333 SHORE AVE |
| City | KOTZEBUE |
| State | AK |
| Zip Code | 99752-9800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780186973 | Chrishawna Yazzie | Prevention Professional | 333 Shore Ave, Kotzebue, AK 99752-9800 | 2018-03-02 |
| 1205105673 | Harriette Slwooko | Counselor | 333 Shore Ave, Kotzebue, AK 99752-9800 | 2011-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
| 1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
| 1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
| 1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
| 1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
| Find all providers in zip 99752 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255817904 | Bridgette Evette Sweet | Counselor | 333 Shore Ave # 212, Kotzebue, AK 99752-9800 | 2018-07-16 |
| 1760783146 | Doug Modig | Counselor | 722 2nd, Kotzebue, AK 99752-0256 | 2010-11-16 |
| 1598901803 | Jonny Hadley | Counselor | 435 2nd Street Ted Stevens Way, Kotzebue, AK 99752 | 2008-12-17 |
| 1316183627 | Alice Adams | Counselor | 735 2nd Street Ted Stevens Way, Kotzebue, AK 99752 | 2008-12-17 |
| 1477798270 | Donald John Ferguson Jr. | Counselor | 435 5th Street Ted Stevens Way, Kotzebue, AK 99752-0256 | 2008-12-08 |
| 1902013980 | Lucy S Adams | Counselor | 436 5th Street, Ted Stevens Way, Kotzebue, AK 99752 | 2007-05-17 |
| 1720291503 | Bryan Harvey | Counselor | 436, 5th Street Ted Stevens Way, Kotzebue, AK 99752-0436 | 2007-05-08 |
| 1275745093 | Bessie K Mitchell | Counselor | 436 Fifth Street Ted Stevens Way, Kotzebue, AK 99752 | 2007-05-04 |
| 1417069162 | Bryan Arthur Shores Sr. | Counselor | 733 3rd, Ferguson Building, Kotzebue, AK 99752 | 2006-08-31 |
| 1457916926 | Kayleen Jennifer Sheldon | Counselor | 733 Second Avenue, Kotzebue, AK 99752 | 2019-05-09 |
| Find all providers in KOTZEBUE | ||||
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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.