Active NPI
Fernanda D. Copeland, RD
- Registered Dietitian
- Chestnut Hill, MA
National Provider Identifier
1447443726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2536
- Practice address
- 291 Independence Dr
Chestnut Hill, MA 02467-3628 - Phone
- (617) 629-6444
- NPI assigned
- Aug 21, 2007
- Last updated
- Nov 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2536 | MA | Primary |
Addresses
Primary practice location
291 Independence Dr
Chestnut Hill, MA 02467-3628
Mailing address
147 Milk St
Provider Enrollment Dept 9TH Floor
Boston, MA 02109-4806
Phone (617) 559-8051
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9750052 | Other | MA | AETNA |
| LD0230 | Other | MA | BLUE CROSS BLUE SHEILD |
| 0041656 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| AAAA96834 | Other | MA | HARVARD PILGRIM |
Other names 1
- Maria Fernanda Dos Santos
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2536 | MA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1447443726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 MILK ST",
"address_2": "PROVIDER ENROLLMENT DEPT 9TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094806",
"telephone_number": "617-559-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 INDEPENDENCE DR",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673628",
"telephone_number": "617-629-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "FERNANDA",
"middle_name": "D.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9750052",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "LD0230",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0041656",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AAAA96834",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "DOS SANTOS",
"middle_name": "FERNANDA",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.