Mary Tudor Sneed Kop, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004022 Issued in CO

Practice address

9094 E Mineral Cir
Suite 120
Centennial, CO 80112-7200

Phone

(303) 779-5437

NPI assigned

Jul 29, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: msneed52182@direct.childrenscolorado.org

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.

• Children'S Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Pediatrics 5280 PC

  • Primary Care Clinic/Center
  • Centennial, CO
  • NPI 1629030689
  NPD (past)
• Pediatrics 5280, PC

  • Pediatrics Physician
  • Castle Rock, CO
  • NPI 1134545395
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1194133520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 GRAPE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204427",
            "telephone_number": "303-829-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR",
            "address_2": "SUITE 120",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127200",
            "telephone_number": "303-779-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOP",
        "first_name": "MARY",
        "middle_name": "TUDOR SNEED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Koepp
• Kali Kohlhof, PHARMD
• John Christopher Kolhouse, MA, LPC
• Anna Kolodziej
• Andrew Koly
• Kimberly Sue Kopchik, APN
• Lon Kopit, PSY.D.
• Jessie Kossman, RN
• Ann Kough, PT, DPT
• Faye N Kouimelis, PSYD, OTR

• Physician Assistant in Centennial, CO
• Providers in Centennial, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.