Javonnia Copeland, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704298542 Issued in MI

Practice address

5303 S Cedar St
Lansing, MI 48911-3800

Phone

(517) 887-4303

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jefferson Comprehensive Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Pine Bluff, AR
  • NPI 1154386597
  Medicare reassignment NPD
• Jefferson Comprehensive Care System, Inc

  dba Little Rock Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1194922849
  NPD
• Jefferson Comprehensive Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1457054769
  NPD

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1992262802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30161",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489097661",
            "telephone_number": "517-887-4303",
            "fax_number": "517-887-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113800",
            "telephone_number": "517-887-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "JAVONNIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704298542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie A Cooper, DR.
• Patrick B Cooper, DNP
• Tina Cooper
• Tyler Samuel Cooper
• Alyssa Copeland, CCC-SLP
• Samantha Coppola
• Coram Alternate Site Services, Inc. (Coram Specialty Infusion Services, an Apria Healthcare Company)
• Madeline Hulse Corbett, MD
• Pamela Corden, DPT
• Elizabeth Corder

• Family Nurse Practitioner in Lansing, MI
• Providers in Lansing, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.