Dawn Renee Copperthite, RD,CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

001213-1 Issued in NY

Practice address

300 International Dr
Suite 100
Williamsville, NY 14221-5781

Phone

(716) 228-8163

Fax

(716) 626-3416

NPI assigned

Oct 11, 2006

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 identifiers 3

Other names 1

• Dawn Renee Bunger Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dawncopperthite@dawnthedietitian.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Psychiatric Nurse Practitioner Practice, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
  • NPI 1831120245
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1114015237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 KECK RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949307",
            "telephone_number": "716-228-8163",
            "fax_number": "716-626-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215781",
            "telephone_number": "716-228-8163",
            "fax_number": "716-626-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPERTHITE",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RD,CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "001213-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE #",
            "identifier": "00026589601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH #",
            "identifier": "65-10942",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMSMED",
            "identifier": "J300238909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "BUNGER",
            "middle_name": "RENEE",
            "credential": "RD, CDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maureen Conway, PMHNP
• Tomasina Laurice Cook, MS
• Elizabeth Cooney, LPN
• Maria Cooper, PT
• Stephan Cooper, DPT
• Alyson L Coppola, RPA-C
• James G Corasanti, MD, PHD
• John C Corbelli, MD
• Richard J Corbelli, MD
• Lindsay Corbett

• Registered Dietitian in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.