Individual provider Active NPI

Melanie Hopper Koppelman, DAC

  • Acupuncturist
  • Bristol, RI
National Provider Identifier
1063913127
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
DA00478 Issued in RI
Practice address
Harbor Integrative Health, LLC
60 Poppasquash Road
Bristol, RI 02809
Phone
(401) 366-2026
NPI assigned
Feb 23, 2018
Last updated
Feb 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X DA00478 RI Primary

Addresses

Primary practice location

Harbor Integrative Health, LLC
60 Poppasquash Road
Bristol, RI 02809

Mailing address

Harbor Integrative Health, LLC
60 Poppasquash Road
Bristol, RI 02809
Phone (401) 366-2026

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DA00478RIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1063913127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HARBOR INTEGRATIVE HEALTH, LLC",
            "address_2": "60 POPPASQUASH ROAD",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "02809",
            "telephone_number": "401-366-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARBOR INTEGRATIVE HEALTH, LLC",
            "address_2": "60 POPPASQUASH ROAD",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "02809",
            "telephone_number": "401-366-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER KOPPELMAN",
        "first_name": "MELANIE",
        "credential": "DAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.