Alicia C Copeland, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

266234 Issued in AZ

Practice address

1856 E Florence Blvd Ste 1
Casa Grande, AZ 85122-5303

Phone

(520) 381-0380

NPI assigned

Jun 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alicia C Cowan Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acopeland765781@hisp.ehr.sutterhealth.org

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.

• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1891913166
  Medicare reassignment NPD
• Sun Life Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1417286568
  NPD
• Sun Life Family Health Center, Inc.

  • Community/Retail Pharmacy
  • Casa Grande, AZ
  • NPI 1275693947
  NPD
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eloy, AZ
  • NPI 1588876429
  NPD
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Florence, AZ
  • NPI 1902278252
  NPD
• Sun Life Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1508276940
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1689088015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 E FLORENCE BLVD STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225303",
            "telephone_number": "520-381-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "ALICIA",
        "middle_name": "C",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024171237",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "266234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "COWAN",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Nicole Coombe, PHARMD
• Cooper Lopez and Associates
• Nicole D Cooper Lopez, PSY.D.
• Lakiesha Staci-Lee Cooper, MPH, BIRTH DOULA
• Robert Paul Cooper, DO
• Corazon Inc.
• Corazon Integrated Healthcare Services
• Naomi R Cordova, PH.D.
• Cornerstone Caregiving West LLC
• Fernando Cortes

• Pediatric Nurse Practitioner in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.