Kandee G Coppala, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9217913 Issued in FL

Practice address

1304 Oak St
Melbourne, FL 32901-3111

Phone

(321) 723-4723

Fax

(321) 727-1448

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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

• KGC Crna LLC

  • Certified Registered Nurse Anesthetist
  • Melbourne, FL
  • NPI 1609215730
  Medicare reassignment Authorized official
• Ambulatory Surgery Center Support Services

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1902857642
  Medicare reassignment NPD
• Amsurg Rockledge FL Anesthesia LLC

  • Anesthesiology Physician
  • Rockledge, FL
  • NPI 1083953772
  Medicare reassignment NPD
• Amsurg Melbourne Anesthesia LLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1477958189
  Medicare reassignment
• Anesthesia Professional Services of Brevard LLC

  • Certified Registered Nurse Anesthetist
  • Rockledge, FL
  • NPI 1164657995

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Brevard Anesthesia Services PA

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1699881664

  Nurse Anesthetist, Certified Registered

  NPD (past)
• The Stingl Family Foundation, Inc

  dba Stingl Eye Clinic

  • Clinic/Center
  • Melbourne, FL
  • NPI 1548629108
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174637383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013111",
            "telephone_number": "321-723-4723",
            "fax_number": "321-727-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013111",
            "telephone_number": "321-723-4723",
            "fax_number": "321-727-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPALA",
        "first_name": "KANDEE",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9217913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "G3632",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00313142",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306690800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki L Cooper, PAC
• Kristie Marie Coots
• Nicole N Copeland, MA
• Victoria R Copeland, CNA
• Eric M Coppala, CRNA
• Cora Health Services Inc (CORA Physical Therapy - Melbourne)
• Emily Marie Corack
• Lenora Corbett, PT
• Nicole Corcione
• Donald B Cork Jr., DDS

• Certified Registered Nurse Anesthetist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• 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.
• 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.