Active NPI
Chanda Latrease Copeland, NURSE PRACTITIONER
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN65807
- Practice address
- 1500 Galen St SE
Washington, DC 20020-4936 - Phone
- (202) 610-7160
- Fax
- (202) 610-7164
- NPI assigned
- Nov 30, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN65807 | DC | Primary |
| Family Nurse Practitioner | 363LF0000X | R136290 | MD |
Addresses
Primary practice location
1500 Galen St SE
Washington, DC 20020-4936
Mailing address
1220 12TH St SE
Suite 120
Washington, DC 20003-3722
Phone (202) 715-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024905300 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Centennial St
Suite H
La Plata, MD 20646-5976
Phone (301) 292-6010
11701 Livingston Rd
Suite 302
Ft Washington, MD 20744-5146
Phone (301) 292-6010
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- Quality
- 78.47
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 82.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Health Care Inc. | Current | Accepting new patients | |
| Advanced Dermatology of Maryland PC | Current | Accepting new patients | |
| Advanced Dermatology of Maryland PC | Current | Accepting new patients | |
| Unity Health Care, Inc. | Current | Accepting new patients |
Locations
1500 Galen St SE
Washington, DC 20020
Phone (202) 610-7160
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
11701 Livingston Rd
Ste 302
Ft Washington, MD 20744
Phone (301) 292-6010
101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010
2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565
7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
-
- Dermatology Physician
- Fort Washington, MD
- NPI 1386479004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1477820769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 12TH ST SE",
"address_2": "SUITE 120",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033722",
"telephone_number": "202-715-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 GALEN ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200204936",
"telephone_number": "202-610-7160",
"fax_number": "202-610-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "CHANDA",
"middle_name": "LATREASE",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN65807",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R136290",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024905300",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.