Mary Krista Copeland

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

213309 Issued in SC

Practice address

201 W Hampton St
Dillon, SC 29536-3333

Phone

(843) 774-5611

NPI assigned

Aug 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• State of South Carolina

  • Public Health or Welfare Agency
  • Dillon, SC
  • NPI 1073696662
  NPD (past)
• State of South Carolina Comptroller General

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1780139113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S FRANKLIN DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014511",
            "telephone_number": "843-992-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HAMPTON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363333",
            "telephone_number": "843-774-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "MARY",
        "middle_name": "KRISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "213309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew M Cline, D.C.
• Tara Coburn, SOCIAL WORKER
• Lindsay King Cole, PHARMD
• Nancy H Collins, M.D.
• Comprehensive Dental Center of South Carolina
• Core Management Group LLC
• Kathleen Rose Cornish, MSW
• County of Dillon
• Sara Sports Culclasure, CLINICAL COUNSELOR
• Teresa Gayle Curry, MA

• All providers in Dillon, SC
• Community Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.