Active NPI
Keith Loyd Copeland, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
National Provider Identifier
1962497263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 236533
- Practice address
- 4120 Southwest Fwy
Suite 100
Houston, TX 77027-7339 - Phone
- (713) 626-8500
- Fax
- (713) 626-8560
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 236533 | TX | Primary |
Addresses
Primary practice location
4120 Southwest Fwy
Suite 100
Houston, TX 77027-7339
Mailing address
PO Box 4346
Dept 398
Houston, TX 77210-4346
Phone (281) 358-8114
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031051 | Other | TX | RECERTIFICATION AANA |
| 86923U | Other | TX | BLUE CROSS BLUE SHIELD |
| 81740U | Other | TX | BLUE CROSS BLUE SHIELD |
| 1501417 | Medicaid | LA | |
| P00379468 | Other | TX | RAILROAD MEDICARE |
| 031051 | Other | CRNA |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31051 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1962497263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4346",
"address_2": "DEPT 398",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104346",
"telephone_number": "281-358-8114",
"fax_number": "281-358-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 SOUTHWEST FWY",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277339",
"telephone_number": "713-626-8500",
"fax_number": "713-626-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "KEITH",
"middle_name": "LOYD",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "236533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RECERTIFICATION AANA",
"identifier": "031051",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "86923U",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "81740U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1501417",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00379468",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA",
"identifier": "031051",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.