- Practice location
- 1130 E Missouri Ave Ste 850, Phoenix, AZ 85014-2790
- Phone
- 203-295-4137
- Fax
- —
- Last updated
- January 20, 2025
Tara Lyn Coppola is a Naturopath based in Phoenix, AZ. Tara Lyn Coppola practices in Phoenix, AZ and has the professional credentials of ND, MS, CES. The NPI Number for Tara Lyn Coppola is 1497406987 and holds a License No. 59.002157 (CT). The current practice location address for Tara Lyn Coppola is 1130 E Missouri Ave Ste 850, Phoenix, AZ 85014-2790 and can be reached out via phone at 203-295-4137.
Provider Profile Details
- NPI Number
- 1497406987
- Provider Name
- Tara Lyn Coppola
- Credential
- ND, MS, CES
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1130 E Missouri Ave Ste 850, Phoenix, AZ 85014-2790
- Phone Number
- 203-295-4137
- Primary Taxonomy
- Naturopath · 175F00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 16, 2022
- Last Update Date
- January 20, 2025
- Certification Date
- January 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1130 E Missouri Ave Ste 850
Phoenix, AZ 85014-2790 - City
- Phoenix
- State
- Arizona
- Zip
- 85014-2790
- Phone Number
- 203-295-4137
Provider Business Mailing Address Details
- Address
- 1130 E Missouri Ave Ste 850
Phoenix, AZ 85014-2790 - City
- Phoenix
- State
- AZ
- Zip
- 85014-2790
- Phone Number
- 203-285-4137
- Fax Number
- 623-307-6767
License Information
- License Number (1)
- 59.002157
- License State (1)
- CT
- Taxonomy (1)
- Nutritionist · 133N00000X
- License Number (2)
- 0068
- License State (2)
- NH
- Taxonomy (2)
- Naturopath · 175F00000X
- License Number (3)
- 24-1887
- License State (3)
- AZ
- Taxonomy (3)
- Naturopath · 175F00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Tara L Coppola, ND, MS, CES?
The NPI number of Dr. Tara L Coppola, ND, MS, CES is 1497406987. It was assigned on January 16, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Tara L Coppola, ND, MS, CES?
Dr. Tara L Coppola, ND, MS, CES is registered under the primary taxonomy Naturopath (code 175F00000X), licensed in CT under license number 59.002157.
Where does Dr. Tara L Coppola, ND, MS, CES practice?
The practice location is 1130 E Missouri Ave Ste 850, Phoenix, AZ 85014-2790. The office can be reached at 203-295-4137 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497406987 directly on the NPPES registry website.