McKenna Coppedge

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

273380 Issued in AZ

Practice address

45 Castle Rock Rd Ste 2a
Sedona, AZ 86351-8806

Phone

(928) 814-5269

NPI assigned

Jul 4, 2022

Last updated

Jul 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ketamine Psycholytic Therapy LLC

  • Health Service Clinic/Center
  • Sedona, AZ
  • NPI 1972261824
  NPD
• Sedona Integrative Osteopathy LLC

  • General Practice Physician
  • Sedona, AZ
  • NPI 1003243692
  NPD (past)

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1730812157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTLE ROCK RD STE 2A",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863518806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTLE ROCK RD STE 2A",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863518806",
            "telephone_number": "928-814-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPEDGE",
        "first_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "273380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mckenna@dr-cunningham.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "address_1": "45 Castle Rock Rd Ste 2A",
            "city": "Sedona",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863518806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Connect Hearing, Inc.
• Suzanne Mae Connolly, LCSW MSW
• Conscious Heart Medical, PLLC
• Geoffrey H Cook, M.D.
• Oliver Burton Cooperman, M.D.
• Core Chiropractic Arizona, LLC
• Leah A Cornwell, PROF COUNSELOR ASSOC
• Linda Luanne Cory, PT
• Janette Costales
• Steven Cox, DC

• General Practice Registered Nurse in Sedona, AZ
• Providers in Sedona, AZ by specialty
• General Practice Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.

Verify at the official NPI Registry.