Active NPI
Martha Coppage-Lawrence, CPNP
- Pediatric Nurse Practitioner
- Newark, DE
National Provider Identifier
1164569588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- LJ-0000159
- Practice address
- 2575 Glasgow Ave
Newark, DE 19702-4747 - Phone
- (302) 832-5400
- Fax
- (302) 832-5407
- NPI assigned
- Feb 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | LJ-0000159 | DE | Primary |
Addresses
Primary practice location
2575 Glasgow Ave
Newark, DE 19702-4747
Mailing address
4 Dillon Dr
New Castle, DE 19720-5167
Phone (302) 832-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RXAPN3142 | Other | DE | PRESCRIPTIVE AUTHORITY |
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 |
|---|---|---|---|
| LJ-0000159 | DE | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164569588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DILLON DR",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197205167",
"telephone_number": "302-832-5400",
"fax_number": "302-832-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 GLASGOW AVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197024747",
"telephone_number": "302-832-5400",
"fax_number": "302-832-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPAGE-LAWRENCE",
"first_name": "MARTHA",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "DE",
"license": "LJ-0000159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTIVE AUTHORITY",
"identifier": "RXAPN3142",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.