Cheron Copeland, NDTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

86374592

Practice address

3344 Marina Rd Apt 204
South Milwaukee, WI 53172-3963

Phone

(931) 637-4628

NPI assigned

May 27, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1215720867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 MARINA RD APT 204",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 MARINA RD APT 204",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723963",
            "telephone_number": "931-637-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "CHERON",
        "credential": "NDTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": "86374592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George D. Cherayil, M.D.
• Kayla Khanh Chu
• City of South Milwaukee
• City of South Milwaukee
• Megan Mae Clement, PHARMD
• Dana Correnti, PA-C
• Michael L Costello, DDS
• Shauntee Marie Crawford
• Genesis Cruz
• Sindhu Daggumalli, MSPT

• Registered Dietetic Technician in South Milwaukee, WI
• Providers in South Milwaukee, WI by specialty
• Registered Dietetic Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.