Traci M Bopp, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

28129411A Issued in IN

Practice address

898 E Main St
Greenwood, IN 46143-1407

Phone

(317) 883-5275

Fax

(317) 882-1631

NPI assigned

Jan 29, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Traci Bopp Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1013194448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431407",
            "telephone_number": "317-883-5275",
            "fax_number": "317-882-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431407",
            "telephone_number": "317-883-5275",
            "fax_number": "317-882-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPP",
        "first_name": "TRACI",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IN",
            "license": "28129411A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "BOPP",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Latashiay Bonilla
• Lori Christine Bonilla, FNP-C
• Martin D Bonney Jr., MD
• Megan M. Bonney, APRN
• David K Booth II, D.O.
• Kaitlyn Borland, LCSW
• Lauren Boscaini, DPT
• Sajal K Bose, M.D.
• Rachel Bostick
• Miriam Bostrom, M.A.

• Adult Psychiatric/Mental Health Registered Nurse in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.