Individual provider Active NPI

Tammy M Copeland, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, AR
National Provider Identifier
1487870283
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C00862 Issued in AR
Practice address
1400 Braden St
Jacksonville, AR 72076-3721
Phone
(501) 985-7000
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R27750 AR
Certified Registered Nurse Anesthetist 367500000X C00862 AR Primary

Addresses

Primary practice location

1400 Braden St
Jacksonville, AR 72076-3721

Mailing address

925 Sherwood Dr
Lake Bluff, IL 60044-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000950 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284766536 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R27750ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Oct 28, 2018 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince Nov 1, 2021 Accepting new patients
NLR Gi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Endoscopy Center of Arkansas Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101

212 Natural Resources Dr
Little Rock, AR 72205
Phone (501) 664-7200

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

3401 Springhill Dr
Ste 155
North Little Rock, AR 72117
Phone (501) 202-3631

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1487870283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SHERWOOD DR",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763721",
            "telephone_number": "501-985-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "TAMMY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R27750",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.