Individual provider Active NPI

Mary Copeland, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Memphis, TN
National Provider Identifier
1255670279
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4375 Issued in TN
Practice address
7007 Stage Rd
Memphis, TN 38133-4977
Phone
(901) 677-0422
Fax
(317) 520-8200
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4375 TN Primary

Addresses

Primary practice location

7007 Stage Rd
Memphis, TN 38133-4977

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

6320 N Quail Hollow Rd
Memphis, TN 38120-1420
Phone (901) 761-0021

Other practice location 2

2233 Lynnfield Rd Bldg B
Memphis, TN 38119-7238
Phone (901) 586-8606

Other practice location 3

68 Exeter Rd
Jackson, TN 38305-1829
Phone (731) 201-1486

Other practice location 4

1125 Schilling Blvd E Ste 112
Collierville, TN 38017-7078
Phone (901) 424-5621

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
Master of Science

State licenses

LicenseStateTypeSpecialty
4375TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hopebridge LLC Speech-Language Pathologist Past Accepting new patients
Rehab at Your Place, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1255670279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334977",
            "telephone_number": "901-677-0422",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 N Quail Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381201420",
            "country_code": "US",
            "telephone_number": "901-761-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2233 Lynnfield Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381197238",
            "country_code": "US",
            "telephone_number": "901-586-8606",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051829",
            "country_code": "US",
            "telephone_number": "731-201-1486",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Schilling Blvd E Ste 112",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380177078",
            "country_code": "US",
            "telephone_number": "901-424-5621",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "MARY",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.