Active NPI
Rebecca Copeland, MS, RDN, LDN
- Registered Dietitian
- Farmington Hills, MI
National Provider Identifier
1447617717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86034047
- Practice address
- 32961 Middlebelt Rd
Farmington Hills, MI 48334 - Phone
- (248) 855-1540
- Fax
- (248) 855-2481
- NPI assigned
- Jan 18, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.006674 | IL | |
| Registered Dietitian | 133V00000X | 86034047 | Primary |
Addresses
Primary practice location
32961 Middlebelt Rd
Farmington Hills, MI 48334
Mailing address
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (248) 620-6400
Other practice location 1
5 Revere Dr
Suite 100
Northbrook, IL 60062-1566
Phone (847) 291-6805 ext. 1305
Other practice location 2
5 Revere Dr
Suite 100
Northbrook, IL 60062-1566
Phone (847) 291-6805 ext. 1305
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.006674 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1447617717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6549 TOWN CENTER DR STE A",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464824",
"telephone_number": "248-620-6400",
"fax_number": "248-620-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32961 MIDDLEBELT RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48334",
"telephone_number": "248-855-1540",
"fax_number": "248-855-2481"
}
],
"practiceLocations": [
{
"address_1": "5 Revere Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600621566",
"country_code": "US",
"telephone_number": "847-291-6805 x1305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Revere Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600621566",
"country_code": "US",
"telephone_number": "847-291-6805 x1305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COPELAND",
"first_name": "REBECCA",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-18",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.006674",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86034047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.