Kimberly M. Kopfman, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

10868-NP Issued in OH

Practice address

3300 Riverside Drive, Suite 200
Upper Arlington, OH 43221-1738

Phone

(614) 459-4200

Fax

(614) 459-1589

NPI assigned

Jan 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Kimberly M. Stone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kim.kopfman.1@26020.direct.athenahealth.com
• Direct secure messaging: kimberly.kopfman.1@2322.direct.athenahealth.com

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.

• Oh Independent Medical Group LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497482111
  NPD (past)

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1942570080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RIVERSIDE DRIVE, SUITE 200",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211738",
            "telephone_number": "614-459-4200",
            "fax_number": "614-459-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERSIDE DRIVE, SUITE 200",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211738",
            "telephone_number": "614-459-4200",
            "fax_number": "614-459-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPFMAN",
        "first_name": "KIMBERLY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.5538",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.399668",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OH",
            "license": "ALPP-3267",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.18068-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "10868-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STONE",
            "middle_name": "M.",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaycee Larissa Kirkland
• Alexandria Fister Kisliakov, LISW
• Ana Knezevic
• Alexandra Knox, MD
• David A Kohlrieser, PT
• Stephen S Koppes, P.A.-C
• Kristina L Edler, LLC
• Jennifer Nicole Krizman, PT
• Scott Daniel Kuhn, PT
• Sara Bourne Lacy, PSY.D.

• Pediatric Nurse Practitioner in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.