Active NPI
Anna C Koopman, CRNP
- Women's Health Nurse Practitioner
- Abington, PA
National Provider Identifier
1346432770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP022800
- Practice address
- 1200 Old York Rd
Abington, PA 19001-3720 - Phone
- (215) 481-6784
- NPI assigned
- Aug 9, 2007
- Last updated
- Nov 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-113403 | AL | |
| Women's Health Nurse Practitioner | 363LW0102X | SP022800 | PA | Primary |
Addresses
Primary practice location
1200 Old York Rd
Abington, PA 19001-3720
Mailing address
1101 Market St FL 30
Philadelphia, PA 19107-2934
Other practice location 1
100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone (215) 361-4980
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051544705 | Other | AL | BCBS |
| 051544707 | Other | AL | BCBS |
| 051544711 | Other | AL | BCBS |
| 051544715 | Other | AL | BCBS |
| 891017594 | Medicaid | AL | |
| 891017606 | Medicaid | AL | |
| 051544708 | Other | AL | BCBS |
| 891017595 | Medicaid | AL | |
| 891017599 | Medicaid | AL | |
| 051544712 | Other | AL | BCBS |
| 510I500035 | Other | AL | MEDICARE |
| 891017598 | Medicaid | AL | |
| 051544709 | Other | AL | BCBS |
| 051544714 | Other | AL | BCBS |
| 891017601 | Medicaid | AL | |
| 051544706 | Other | AL | BCBS |
| 891017592 | Medicaid | AL | |
| 891017593 | Medicaid | AL | |
| 891017600 | Medicaid | AL | |
| 051544710 | Other | AL | BCBS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-113403 | AL | MD | Nurse Practitioner |
| SP022800 | PA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1346432770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MARKET ST FL 30",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191072934",
"fax_number": "856-922-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD YORK RD",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013720",
"telephone_number": "215-481-6784"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Campus Dr",
"address_purpose": "LOCATION",
"city": "Lansdale",
"state": "PA",
"postal_code": "194461259",
"country_code": "US",
"telephone_number": "215-361-4980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOOPMAN",
"first_name": "ANNA",
"middle_name": "C",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-113403",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP022800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544705",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544707",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544711",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544715",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017594",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017606",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544708",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017595",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017599",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544712",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "510I500035",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017598",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544709",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544714",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017601",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544706",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017592",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017593",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017600",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051544710",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.