Active NPI
Ashley Blaine Kopa, PSYD
- Psychologist
- Wilmington, NC
National Provider Identifier
1659558971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4515
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 667-7000
- Fax
- (910) 815-5850
- NPI assigned
- Jan 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4515 | NC | Primary |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Other practice location 1
2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 815-5830
Other practice location 2
1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9700
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ayates55219@direct.nhrmc.org | ||
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1659558971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936857",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-667-7000",
"fax_number": "910-815-5850"
}
],
"practiceLocations": [
{
"address_1": "2131 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017407",
"country_code": "US",
"telephone_number": "910-815-5830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 Physicians Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017338",
"country_code": "US",
"telephone_number": "910-662-9700",
"fax_number": "910-662-9501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOPA",
"first_name": "ASHLEY",
"middle_name": "BLAINE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4515",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ayates55219@direct.nhrmc.org",
"affiliation": "N",
"address_1": "2131 S 17th St",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284017407",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "2131 S 17th St",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284017407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.