Active NPI
Grace Lange Kopf, RD
- Registered Dietitian
- Chester, VA
National Provider Identifier
1043823420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 920888
- Practice address
- 6953 Fieldwood Rd
Chester, VA 23831-3832 - Phone
- (804) 437-2889
- NPI assigned
- Aug 26, 2020
- Last updated
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 920888 | VA | Primary |
Addresses
Primary practice location
6953 Fieldwood Rd
Chester, VA 23831-3832
Mailing address
4318 Old Hundred Rd RM E
Chester, VA 23831-4231
Phone (048) 592-0095
Other names 1
- Miss Grace Virginia Lange
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1043823420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 OLD HUNDRED RD RM E",
"city": "CHESTER",
"state": "VA",
"postal_code": "238314231",
"telephone_number": "048-592-0095",
"fax_number": "804-655-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6953 FIELDWOOD RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238313832",
"telephone_number": "804-437-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPF",
"first_name": "GRACE",
"middle_name": "LANGE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "920888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "LANGE",
"middle_name": "VIRGINIA",
"prefix": "MISS",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.