KIMBERLY H. COPELAND (NPI# 1114948668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114948668 |
Entity Type | Individual |
Full Name | KIMBERLY H. COPELAND |
Credential | MD |
Practice Address |
2121 Ne 139th St Suite 200 Vancouver WA 98686-2316 |
Mailing Address |
Po Box 2077 Portland OR 97208-2077 |
Practice Telephone | 3604871777 |
Practice Fax Number | 3604871779 |
Mailing Telephone | 5034133900 |
Mailing Fax Number | 5034133710 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2011-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
MD21409 | OR | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | MD00044472 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WA STATE LICENSE | MD00044472 | 01 |
WA | PENDING | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902300031 | Kimberly Copeland | Behavior Technician | 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 | 2018-03-22 |
1093086084 | Kimberly Dawn Copeland | Contractor | 16226 W Burchett Rd, Tahlequah, OK 74464-0366 | 2012-01-23 |
1811137136 | Kimberly Gayle Copeland | Psychologist | 5909 West Loop S Ste 420, Bellaire, TX 77401-2405 | 2009-02-26 |
1396766325 | Kimberly Copeland | Counselor | 3717 27th St, Lubbock, TX 79410-2037 | 2006-07-23 |
1942851480 | Kimberly Copeland | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-26 |
1962756882 | Kimberly Ann Copeland | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2012-10-30 |
1205142312 | Kimberly A. Copeland | Psychologist | 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 | 2010-08-26 |
Street Address |
2121 NE 139TH ST SUITE 200 |
City | VANCOUVER |
State | WA |
Zip Code | 98686-2316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750925913 | Colleen Mcdevitt-maslen | Physician Assistant | 2121 Ne 139th St, Vancouver, WA 98686-2301 | 2019-10-31 |
1285147876 | Kelsey Rae Marks | Speech-Language Pathologist | 2121 Ne 139th St, Vancouver, WA 98686-2316 | 2017-11-06 |
1437609880 | Elisabeth Freeman | Occupational Therapist | 2121 Ne 139th St, Ste 200, Vancouver, WA 98686-2316 | 2016-10-10 |
1447706817 | Travis Munnell | Physical Therapist | 2121 Ne 139th St, Suite 325, Vancouver, WA 98686-2316 | 2016-08-26 |
1770037970 | Natasha Bui | Physical Therapist | 2121 Ne 139th St, Suite 200, Vancouver, WA 98686-2316 | 2016-08-05 |
1255798948 | Kimberly Griffin | Occupational Therapist | 2121 Ne 139th St, Vancouver, WA 98686-2316 | 2016-01-26 |
1508236522 | Katie Fey | Speech-Language Pathologist | 2121 Ne 139th St, Mob A Ste 200, Vancouver, WA 98686-2316 | 2015-10-02 |
1073994612 | Melissa Colleen Murphy | Speech-Language Pathologist | 2121 Ne 139th St, Vancouver, WA 98686-2316 | 2015-06-09 |
1891191847 | Alice Chandler | Physical Therapist | 2121 Ne 139th St, Suite 325, Vancouver, WA 98686-2316 | 2014-11-18 |
1972912855 | Abigail L Van Amerongen | Physical Therapist | 2121 Ne 139th St, Suite 325, Vancouver, WA 98686-2316 | 2014-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710490545 | Jessica Lynn Jacoby | Pediatrics | 2404 Ne 187th Pl, Vancouver, WA 98684-6448 | 2017-11-15 |
1891215109 | Khalid Taha | Pediatrics | 4480 Oak Street, K4-151, Bc Children's Hospital, Vancouver, BRITISH COLUMBIA V6H 3V4 | 2017-06-27 |
1265798821 | Paul Joshua Goodwin | Pediatrics | 505 Ne 87th Ave Ste 120, Evergreen Pediatrics Clinic, Vancouver, WA 98664-1965 | 2012-04-09 |
1265722342 | Calvin Clayton Clark | Pediatrics | 6701 Se Evergreen Hwy, Vancouver, WA 98661 | 2011-04-11 |
1598977209 | Jason Daniel Wister | Pediatrics | 400 Northeast Mother Joseph Place, Vancouver, WA 98664 | 2007-05-04 |
1578589784 | Stacy Lynn Drasen | Pediatrics | 501 Se 172nd Ave Ste 150, Vancouver, WA 98684-9542 | 2006-07-14 |
1194704445 | Jean Marie Haggerty | Pediatrics | 7101 Ne 137th Ave Ofc, Vancouver, WA 98682-4933 | 2006-01-14 |
1104177450 | Megan M Klenow | Pediatrics | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2012-09-26 |
1043536980 | Jing Jing Wang | Pediatrics | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2010-04-16 |
1396931523 | Lijuan Leslie Yu | Pediatrics | 11719 Ne 95th St, #f, Vancouver, WA 98682-2444 | 2007-09-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.