Shanta Coppage

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

200 W Madison St
Chicago, IL 60606-3414

Phone

(312) 277-4090

NPI assigned

Dec 24, 2020

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

Practice roles

Locations

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.

• Englewood Community Outreach

  • Day Training/Habilitation Specialist
  • Evergreen Park, IL
  • NPI 1205666096
  NPD Authorized official
• Englewood Community Outreach

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1811767296
  NPD Authorized official
• Medi2Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Springfield, IL
  • NPI 1225795255
  NPD Authorized official

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1295322287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063414",
            "telephone_number": "312-277-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPAGE",
        "first_name": "SHANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Copernicus Medical Corporation.,LTD.
• Copes Special Needs Services LLP
• Valerie Copits
• Shirley Margaret Copland, PT
• Morgan R Copp, MOT
• Willie Coppage
• Sabrina Hope Coppedge, MD
• Scott H Coppel, MD
• Casey Dean Coppess
• Allyson Nan Coppin, L.C.S.W.

• Case Manager/Care Coordinator in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.