Michelle L. Kopf, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

51654 Issued in WV

Practice address

830 Pennsylvania Ave
Suite 103
Charleston, WV 25302-3302

Phone

(304) 388-2925

Fax

(304) 388-1577

NPI assigned

Aug 21, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• New River Health Association, Inc.

  • Rehabilitation Clinic/Center
  • Oak Hill, WV
  • NPI 1841619467
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174638787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROLLER RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141278",
            "telephone_number": "304-343-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023302",
            "telephone_number": "304-388-2925",
            "fax_number": "304-388-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPF",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "C-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "51654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS PROVIDER ID",
            "identifier": "NP13373",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin J Kommor, M.D.
• Courtney Briana Koon, LSW, MSW
• Andrea Nichole Koontz
• Ashley Nicole Koontz, LPC
• Katelyn Koontz
• Stefanie Kopp
• Charity Kopshina
• Kaylee Korp
• Jessica A Kortz
• Heather R Kosarek, M.S. CCC-SLP

• Family Nurse Practitioner in Charleston, WV
• Providers in Charleston, WV by specialty
• Family Nurse Practitioner in West Virginia

• 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.

Verify at the official NPI Registry.