Tara Lyn Coppola, ND, MS, CES

Primary specialty

NaturopathTaxonomy code 175F00000X

License

24-1887 Issued in AZ

Practice address

1130 E Missouri Ave Ste 850
Phoenix, AZ 85014-2790

Phone

(203) 295-4137

NPI assigned

Jan 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1497406987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 850",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142790",
            "telephone_number": "203-285-4137",
            "fax_number": "623-307-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 850",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142790",
            "telephone_number": "203-295-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Borthwick Ave # 102",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038017156",
            "country_code": "US",
            "telephone_number": "603-610-7778",
            "fax_number": "603-610-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "TARA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "ND, MS, CES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "59.002157",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NH",
            "license": "0068",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "24-1887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Copper State Orthopedics, LTD
• Copper Sun Nutrition
• Copper Valley Care LLC
• Talmage Bradley Copple, DDS
• Alan J. Coppola, RPH
• Cora Health Solutions LLC
• Coral Valley Psychological Services, PLLC
• Coralee H McKay MD PC
• Coram Alternate Site Services Inc
• Coram Alternate Site Services, Inc.

• Naturopath in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.