Individual provider Active NPI

Danielle Leigh Coppes, M.ED,AT

  • Athletic Trainer
  • Bowling Green, OH
National Provider Identifier
1912545377
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
004392 Issued in OH
Practice address
1610 Stadium Dr
Bowling Green, OH 43403-4302
Phone
(419) 372-7089
Fax
(419) 372-0123
NPI assigned
Dec 17, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 004392 OH Primary

Addresses

Primary practice location

1610 Stadium Dr
Bowling Green, OH 43403-4302

Mailing address

1610 Stadium Dr
Bowling Green, OH 43403-4302
Phone (419) 372-7089

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SIMS Direct

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
004392OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1912545377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 STADIUM DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434034302",
            "telephone_number": "419-372-7089",
            "fax_number": "419-372-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 STADIUM DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434034302",
            "telephone_number": "419-372-7089",
            "fax_number": "419-372-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPES",
        "first_name": "DANIELLE",
        "middle_name": "LEIGH",
        "credential": "M.ED,AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "004392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SIMS",
            "affiliation": "N",
            "endpointDescription": "Online EMR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1610 Stadium Dr",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434034302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.