KATHERINE JULIA ZOPPOTH NP NPI 1164071726

NPI Information

NPI: 1164071726
Provider Name: KATHERINE JULIA ZOPPOTH, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
6095 PROFESSIONAL PKWY UNIT 100
DOUGLASVILLE, GA
ZIP 30134
Phone: (770) 920-2255
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Katherine Julia Zoppoth, NP is a pediatrics nurse practitioner in Douglasville, GA. Katherine Julia Zoppoth, NP NPI is 1164071726. 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:

6095 PROFESSIONAL PKWY UNIT 100
DOUGLASVILLE, GA
ZIP 30134-607
Phone: (770) 920-2255
Fax: (770) 920-9963

The enumeration date for this NPI number is 9/6/2019 and was last updated on 7/15/2022.

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	363LP0200X	Nurse Practitioner	Pediatrics	233104	KENTUCKY	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	201914822	MEDICAID	KENTUCKY

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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