Zachary Kyle Koopman

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

601 S College Rd
Wilmington, NC 28403-3201

Phone

(513) 703-0072

NPI assigned

Dec 14, 2017

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1841706710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 HEARTHSIDE DR APT 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284128393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033201",
            "telephone_number": "513-703-0072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "274 Sutton Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452303521",
            "country_code": "US",
            "telephone_number": "513-231-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOPMAN",
        "first_name": "ZACHARY",
        "middle_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-14",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Koller, LCSWA
• Sophia Koo, MD
• Mary Grayson Koonce, PHARMD
• Courtney Rose Koons, PTA
• Kyra Koontz
• Ashley Blaine Kopa, PSYD
• David Kopaczewski, PHAMD
• Joan E. Korman, SLP
• Lauren Willson Korn, LCSW, MSW, ACSW
• Jeffrey Todd Kornegay, MD

• Student in an Organized Health Care Education/Training Program in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.