Provider Demographics
NPI:1982141198
Name:TSCHOPP, DONNA (EP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:TSCHOPP
Suffix:
Gender:F
Credentials:EP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 APPLING CENTER CV
Mailing Address - Street 2:STE 106
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38133-5079
Mailing Address - Country:US
Mailing Address - Phone:901-832-1820
Mailing Address - Fax:
Practice Address - Street 1:2756 APPLING CENTER CV
Practice Address - Street 2:STE 106
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-5079
Practice Address - Country:US
Practice Address - Phone:901-832-1820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN8246133NN1002X, 174H00000X, 224Y00000X, 225500000X, 390200000X
TN146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174H00000XOther Service ProvidersHealth Educator
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant