Mary E Coplin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.07555 Issued in OH

Practice address

1800 E 5TH St
Delphos, OH 45833-9180

Phone

(419) 996-5030

Fax

(419) 996-5458

NPI assigned

Mar 10, 2008

Last updated

Jun 30, 2017By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1285804856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636372",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "419-226-9120",
            "fax_number": "419-996-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E 5TH ST",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339180",
            "telephone_number": "419-996-5030",
            "fax_number": "419-996-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLIN",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "OH",
            "license": "P99471",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.07555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2440513",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Diane Clark, FNP BC
• Amy Clay, PTA
• Alan Joseph Cline, .D.D.S.
• CNP for Hire, LLC
• Heather Nicole Cook
• Lisa Marie Cross
• Stephen Joseph D'Abreau, DO
• Delphos Ambulatory Surgery Center Inc (Delphos ASC)
• Delphos City
• Delphos City Schools

• Family Nurse Practitioner in Delphos, OH
• Providers in Delphos, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.