Active NPI
Kelley Copley, RN, MT
- Maternal Newborn Registered Nurse
- Christiansted, VI
National Provider Identifier
1720859192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal Newborn Registered Nurse
- License
- 12177
- Practice address
- 5001 Chandlers Wharf Ste 6
Christiansted, VI 00820-3621 - Phone
- (340) 332-1000
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2-38379-1L | VI | |
| Maternal Newborn Registered Nurse | 163WM0102X | 12177 | VI | Primary |
Addresses
Primary practice location
5001 Chandlers Wharf Ste 6
Christiansted, VI 00820-3621
Mailing address
PO Box 25964
Christiansted, VI 00824-1964
Phone (340) 332-1000
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)
- Not enrolled
- Credentials
- Medical Technician, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12177 | VI | MD | Maternal Newborn Registered Nurse |
| 2-38379-1L | VI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1720859192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25964",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "008241964",
"telephone_number": "340-332-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 CHANDLERS WHARF STE 6",
"city": "CHRISTIANSTED",
"state": "VI",
"postal_code": "008203621",
"telephone_number": "340-332-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPLEY",
"first_name": "KELLEY",
"credential": "RN, MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VI",
"license": "2-38379-1L",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "VI",
"license": "12177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Christiansted, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.