Machaela Lynne Copenhaver, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D161277062 Issued in WA

Practice address

2020 E 29TH Ave
Spokane, WA 99203-3917

Phone

(888) 364-5977

NPI assigned

Feb 26, 2022

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

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.

• Emily Program PC

  dba The Emily Program

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1154696698
  Medicare reassignment NPD
• The Emily Program

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1790150845
  NPD
• Emily Program P C

  dba The Emily Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1528165065
  NPD

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1750037826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 E 34TH LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236021",
            "telephone_number": "509-570-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033917",
            "telephone_number": "888-364-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPENHAVER",
        "first_name": "MACHAELA",
        "middle_name": "LYNNE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "D161277062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Lynn Coopersmith, RPH
• Felicity Coopman
• Jeremy Michael Cope, M.D.
• John Cope, RBT
• Kevin Copelin
• Constance C Copetas, DDS
• Christopher John Coppen, MSW
• Copper Creek Medical, Inc.
• Margaret Lynne Coppersmith, RPH
• Brandon Marquese Coppin, PEER SPECIALIST

• Registered Dietitian in Spokane, WA
• Providers in Spokane, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.