KAITLYN COPELAND


Address: 405 W Grand Ave, Dayton, OH 45405-7538
Phone: 9377233200

KAITLYN COPELAND (NPI# 1558971291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558971291
Entity Type Individual
Full Name KAITLYN COPELAND
Credential CNP
Practice Address 405 W Grand Ave
Dayton
OH 45405-7538
Mailing Address 151 Walnut Creek Dr
Commercial Point
OH 43116-9708
Practice Telephone 9377233200
Mailing Telephone 6143715515
Enumeration Date 2020-08-07
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2020012508 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0414978 05

Office Location

Street Address 405 W GRAND AVE
City DAYTON
State OH
Zip Code 45405-7538

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598767758 Edward Ewing Pathology 405 W Grand Ave, Dayton, OH 45405-4720 2005-06-01
1316559065 Ashton Vandyke Pharmacist 405 W Grand Ave, Dayton, OH 45405-7538 2020-08-23
1740892132 Garrett Thomason Registered Nurse 405 W Grand Ave, Dayton, OH 45405-7538 2020-08-18
1093335176 Ashley Nicole Howell Surgery 405 W Grand Ave, Dayton, OH 45405-7538 2020-04-20
1669091310 Jody Marie Anderson Student in an Organized Health Care Education/Training Program 405 W Grand Ave, Dayton, OH 45405-7538 2020-04-13
1326677501 Andrea Lynn Forray Student in an Organized Health Care Education/Training Program 405 W Grand Ave, Dayton, OH 45405-7538 2020-04-08
1275162893 Kelsey Quin Student in an Organized Health Care Education/Training Program 405 W Grand Ave, Dayton, OH 45405-7538 2020-04-06
1790314417 Tsedey Biru Juka Student in an Organized Health Care Education/Training Program 405 W Grand Ave, Dayton, OH 45405-7538 2020-04-04
1962031716 Pratik Wagle Student in an Organized Health Care Education/Training Program 405 W Grand Ave, Dayton, OH 45405-7538 2020-04-03
1548899511 Brenda Renee Russell Student in an Organized Health Care Education/Training Program 405 W Grand Ave, Dayton, OH 45405-7538 2020-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497252613 Christina Giuffrida Student in an Organized Health Care Education/Training Program Grandview Medical Center, Ou Medical Education Office, 405 W. Grand Avenue, Dayton, OH 45405 2018-04-13
1740718410 Iain William Decker Student in an Organized Health Care Education/Training Program 330 Forest Ave, Dayton, OH 45405 2017-05-25
1144779000 Horizon Home Healthcare Service, LLC Home Health 201 Riverside Dr Ste 2h, Dayton, OH 45405 2016-10-03
1629347695 Grandview Hospital General Acute Care Hospital 405 West Grand Avenue, Dayton, OH 45405 2011-12-21
1962712265 Lakisha L Barber Licensed Practical Nurse 2039 Rustic Road, Dayton, OH 45405 2010-10-20
1457685232 Sally Ann Easton Occupational Therapy Assistant 1390 King Tree Drive, Dayton, OH 45405 2009-09-25
1083848535 Azeem Z. Vasi Otolaryngology 405 W. Grand Ave., Grandview Hospital and Medical Center- Medical Educatio, Dayton, OH 45405 2009-05-13
1588823306 Dorothy W Clarke Dietitian, Registered 405 W Grand, Dayton, OH 45405 2008-06-06
1831243062 Brian Michael Glenn Nurse Anesthetist, Certified Registered 450 W. Grand Avenue, Dayton, OH 45405 2007-01-23
1003989807 Han Mok Yang Internal Medicine 3213 North Main Street, Dayton, OH 45405 2006-11-17
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710402433 Huijie Zhang Nurse Practitioner 30 E Apple St Ste Nw3300, Dayton, OH 45409 2017-08-03
1023481108 Kelsey Scuderi Nurse Practitioner 725 University Blvd, Dayton, OH 45435-0001 2015-11-11
1568566883 Linda K Mosel Nurse Practitioner 4100 W 3rd St, Dayton, OH 45428-9000 2006-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760083174 Sophia Denise Moncrieffe-jordan Nurse Practitioner 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 2020-11-03
1649879032 Danielle Wines Nurse Practitioner 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 2020-10-19
1881292902 Karen Cooper Nurse Practitioner 730 A Kittle Road, Wheelersburg, OH 45694 2020-10-12
1659983252 Michael A. Adams Nurse Practitioner 3837 Washington Blvd, University Heights, OH 44118-3158 2020-08-17
1912516709 Susan Marie Hessey Nurse Practitioner 4502 Satinwood Dr, Toledo, OH 43623-3350 2020-07-28
1518585728 Diane Louise Lamb Nurse Practitioner 3163 Hook Waltz Rd E, Elida, OH 45807-9555 2020-07-14
1215553052 Jennifer Cordray Nurse Practitioner 5452 Grace Dr, Mentor, OH 44060-1500 2020-06-17
1053943134 Chunyan Mcelroy Nurse Practitioner 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 2020-02-06
1790324432 Ashley Nicole Neely Nurse Practitioner 890 Oakwood Dr, Alliance, OH 44601-5435 2019-12-28
1710530357 Christine Marie Hoover Nurse Practitioner 65 Community Rd Ste C, Tallmadge, OH 44278-2358 2019-07-23
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Competitor

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City DAYTON
Zip Code 45405

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Dataset Information

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.

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