Copeland Legacy LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COPELAND LEGACY LLC

Practice address

17920 Huffmeister Rd Ste 330
Cypress, TX 77429-4286

Phone

(713) 714-6343

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Tahra Presto

Title

Billing Manager

Phone

(404) 977-8013

Specialties & licenses 1

Addresses

Other names 1

• Real Nurturing Family Practice Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corinne A Herbert-Copeland, FNP-C

  • Family Nurse Practitioner
  • Cypress, TX
  • NPI 1073038337
  NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1609488683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17920 HUFFMEISTER RD STE 330",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17920 HUFFMEISTER RD STE 330",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294286",
            "telephone_number": "713-714-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPELAND LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "PRESTO",
        "authorized_official_first_name": "TAHRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "404-977-8013"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Nurturing Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ja'Miracle Cooks
• Cedric Oneal Cooney Jr.
• Katie Nicole Coonrod, PT, DPT, FAAOMPT
• Amanda Cooper, LAT, ATC
• Robert Michael Cooper, NP
• Beverly M Copeland
• Lisa Copeland, RN
• Copperwood Medical Center
• Kayla Cordner-Johnson
• Corey Stahley, DDS, PLLC

• Family Nurse Practitioner in Cypress, TX
• Providers in Cypress, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.