Rachael Marie Copeland

Key facts

NPI

1962028605

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

1417 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171

Phone

(314) 650-8870

NPI assigned

Jun 18, 2020

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2020.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1962028605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 MODEL REALTY RD",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630692922",
            "telephone_number": "314-650-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "314-650-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

• Don Curtis Coonce, MD
• James K Cooper II, DO
• Shaina L Cooper, FNP
• Emily Copeland, MSW, LCSW
• Mona Kay Copeland, MS, CCC/SLP
• Steffanie Coppaway
• Paul Cordes, M.D.
• Sarah Brynn Cordia
• Mary Elizabeth Corgan, MSN APRN FNP-BC
• Lauren Elizabeth Cornelious

All providers in Cape Girardeau, MO · Behavior Technician in Missouri