Active NPI
Casey Copp, CPNP
- Pediatric Nurse Practitioner
- Holly Springs, NC
National Provider Identifier
1154000354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5021235
- Practice address
- 342 Oakhaven Dr
Holly Springs, NC 27540-4529 - Phone
- (210) 788-1185
- NPI assigned
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5021235 | NC | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 0024187557 | VA |
Addresses
Primary practice location
342 Oakhaven Dr
Holly Springs, NC 27540-4529
Mailing address
801 Pencil Box Way
Virginia Beach, VA 23462-1070
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5021235 | NC | MD | Pediatric Nurse Practitioner |
| 0024187557 | VA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1154000354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 PENCIL BOX WAY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 OAKHAVEN DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275404529",
"telephone_number": "210-788-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPP",
"first_name": "CASEY",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-14",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5021235",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024187557",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.