JEAN MARIE COPELAND (NPI# 1295203404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295203404 |
| Entity Type | Individual |
| Full Name | JEAN MARIE COPELAND |
| Practice Address |
1422 Vt Route 66 Randolph VT 05060-7718 |
| Mailing Address |
Po Box 2000 Randolph VT 05060-2000 |
| Practice Telephone | 8027287742 |
| Mailing Telephone | 8022344143 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
074.0118544 | VT | Dietary & Nutritional Service Providers |
| Street Address |
1422 VT ROUTE 66 |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003271883 | Ann Marie Dixon | Nutritionist | 265 Green Rd, East Montpelier, VT 05651-4246 | 2015-12-22 |
| 1700209038 | Mary Shea Rosen | Nutritionist | 449 Guilford St, Brattleboro, VT 05301-6401 | 2014-01-22 |
| 1013157221 | Lucien Manson | Nutritionist | 288 Flynn Ave Apt 7, Burlington, VT 05401-5369 | 2009-02-27 |
| 1831210574 | Sylvia Marie Gaboriault | Nutritionist | 141 Main St Ste 1, Montpelier, VT 05602 | 2007-04-02 |
| 1457491052 | Elizabeth R Jones | Nutritionist | 1759 Back Windham Rd, West Townshend, VT 05359 | 2007-02-06 |
| 1306967054 | Ilene B Siegel | Nutritionist | 130 Fisher Rd, Berlin, VT 05602-9516 | 2007-04-02 |
Please comment or provide details below to improve the information on JEAN MARIE COPELAND.
| 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.