Active NPI
Eurdis Coppedge-Walker
- Massage Therapist
- Huntsville, AL
National Provider Identifier
1740660232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1013
- Practice address
- 3740 Highway 53
Suite Y
Huntsville, AL 35806-4722 - Phone
- (256) 859-0555
- Fax
- (256) 859-4008
- NPI assigned
- Jun 1, 2015
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1013 | AL | Primary |
Addresses
Primary practice location
3740 Highway 53
Suite Y
Huntsville, AL 35806-4722
Mailing address
3740 Highway 53
Suite Y
Huntsville, AL 35806-4722
Phone (256) 859-0555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1013 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1740660232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 HIGHWAY 53",
"address_2": "SUITE Y",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358064722",
"telephone_number": "256-859-0555",
"fax_number": "256-859-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 HIGHWAY 53",
"address_2": "SUITE Y",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358064722",
"telephone_number": "256-859-0555",
"fax_number": "256-859-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPEDGE-WALKER",
"first_name": "EURDIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AL",
"license": "1013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.