TERRI KOPP NP NPI 1164646659

NPI Information

NPI: 1164646659
Provider Name: TERRI KOPP, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3535 HIGHWAY 81
LOGANVILLE, GA
ZIP 30052
Phone: (678) 905-9625
Get Directions

Terri Kopp, NP is a family nurse practitioner in Loganville, GA. Terri Kopp, NP NPI is 1164646659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3535 HIGHWAY 81
LOGANVILLE, GA
ZIP 30052-336
Phone: (678) 905-9625

The NPI 1164646659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 4/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207K00000X	Allergy & Immunology		ARNP9370385	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	AP30007423	WASHINGTON	No
3	363LF0000X	Nurse Practitioner	Family	20340	CALIFORNIA	No
4	363LF0000X	Nurse Practitioner	Family	9370385	FLORIDA	No
5	363LF0000X	Nurse Practitioner	Family	RN270748	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1164646659	OTHER	CALIFORNIA	NPI-

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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