Collette Michelle Copeland, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

258282 Issued in NY

Practice address

511 W 232ND St Apt E61
Bronx, NY 10463-3555

Phone

(718) 796-2531

NPI assigned

Dec 31, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1831374511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 232ND ST APT E61",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633555",
            "telephone_number": "718-796-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W 232ND ST APT E61",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633555",
            "telephone_number": "718-796-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "COLLETTE",
        "middle_name": "MICHELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "258282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02910158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Cooperman, RN
• Kenneth Bruce Cooperman, D.M.D.
• Ana Celia Keller Cooperwasser, CRC
• Coordinated Behavioral Care Ipa Inc
• Paulette Elaine Coote-Green
• Garrison Eugene Copeland, DDS
• Eliza Ann Copjec
• Michael Coppola
• Gloria Maria Cora-Velasquez, MS
• Nilsa Cora, MSW

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.