Provider Demographics
NPI:1336667641
Name:HOPKINS-LEADY, TAMMIE (CPT, DPP LIFE COACH)
Entity Type:Individual
Prefix:
First Name:TAMMIE
Middle Name:
Last Name:HOPKINS-LEADY
Suffix:
Gender:F
Credentials:CPT, DPP LIFE COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KAISER PERMANENTE 3495 PIEDMONT ROAD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:770-364-5547
Mailing Address - Fax:
Practice Address - Street 1:KAISER PERMANENTE 3495 PIEDMONT ROAD. NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1717
Practice Address - Country:US
Practice Address - Phone:770-364-5547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator