DR. KRISTINA LYNN COPPOCK (NPI# 1992059919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992059919 |
| Entity Type | Individual |
| Full Name | DR. KRISTINA LYNN COPPOCK |
| Other Name | KRISTINA LYNN REISENAUER |
| Credential | D.C. |
| Practice Address |
609 S 48th Ave Yakima WA 98908-3614 |
| Practice Telephone | 5099659820 |
| Practice Fax Number | 5099659822 |
| Mailing Telephone | 5099659820 |
| Mailing Fax Number | 5099659822 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CH60309681 | WA | Chiropractic Providers |
| Street Address |
609 S 48TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427302546 | Nathan Zane Coppock | Chiropractor | 609 S 48th Ave, Yakima, WA 98908-3614 | 2012-10-29 |
| 1619582244 | Sarah Elaine Lowrey-deveny | Massage Therapist | 609 S 48th Ave, Yakima, WA 98908-3614 | 2020-09-10 |
| 1821526534 | Bruce Alan Berglund | Massage Therapist | 609 S 48th Ave, Yakima, WA 98908-3614 | 2017-05-24 |
| 1063812790 | Brianne Alisa Ringer | Massage Therapist | 609 S 48th Ave, Yakima, WA 98908-3614 | 2014-08-29 |
| 1588090369 | Livier Arreguin-castro | Massage Therapist | 609 S 48th Ave, Yakima, WA 98908-3614 | 2013-09-24 |
| 1174877955 | Active Life Chiropractic Clinic LLC | Chiropractor | 609 S 48th Ave, Yakima, WA 98908-3614 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427302546 | Nathan Zane Coppock | Chiropractor | 609 S 48th Ave, Yakima, WA 98908-3614 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538624168 | Orca Wellness | Chiropractor | 511 Boren Ave N Ste 301, Seattle, WA 98109-5505 | 2019-02-07 |
| 1790261444 | Functional Health Consulting, LLC | Chiropractor | 13030 121st Way Ne Ste 102, Kirkland, WA 98034-3008 | 2018-07-16 |
| 1528576154 | Jennifer Josephine Righi | Chiropractor | 21727 76th Ave W Ste B, Edmonds, WA 98026-7549 | 2018-01-17 |
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1154784411 | Infinity Sports Rehab | Chiropractor | 17523 Ne 67th Ct, Redmond, WA 98052-4939 | 2016-04-03 |
| 1619346889 | Michael W Bohrnsen LLC | Chiropractor | 15312 E Sprague Ave # 23, Spokane Valley, WA 99037-8861 | 2015-09-17 |
| 1780921726 | Pacific Sport & Spine | Chiropractor | 22426 Woodway Park Rd, Woodway, WA 98020-6170 | 2013-01-10 |
| 1609125632 | Yaroslav Igorevich Klykov | Chiropractor | 375 Meadowbrook Ct Apt 327, Bellingham, WA 98226-7377 | 2012-09-06 |
| 1316215593 | Zachary Nolan Zugschwerdt | Chiropractor | 621 5th Ave N Ste A, Seattle, WA 98109-4241 | 2011-12-02 |
| 1033400734 | Rodney Cal Hair | Chiropractor | 718 N 143rd St Apt 308, Seattle, WA 98133-6969 | 2011-04-28 |
| Find all providers with the same taxonomy | ||||
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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.