Nichole Marie Kopp

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

347 Midway Blvd
Elyria, OH 44035-9006

Phone

(440) 324-5555

NPI assigned

Nov 9, 2017

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1417460650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MIDWAY BLVD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440359006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MIDWAY BLVD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440359006",
            "telephone_number": "440-324-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Ann Knirsch, CRNA
• Lindsey Diane Knoepp, LSW
• Maher S Kodsy, M.D.
• Maria Koehler
• Amanda Jean Kohler, LMT
• Daniel Kopronica
• Michael V. Koroly, D.O.
• Jason Kortis
• Jeffrey William Kosman, DDS
• Athena Mae Koutsopoulos, LPN

• Case Manager/Care Coordinator in Elyria, OH
• Providers in Elyria, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.