CMS-1500 Box 24J / 33a • NPI
1295203404
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
133NN1002X
Licensed & Credentialed Nutritionist, Nutrition, Education
Box 32 Service Location & ZIP+4
1422 VT ROUTE 66, RANDOLPH, VT, 05060-7718
✓ 9-Digit EDI 837 ZIP+4 (05060-7718)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1295203404 (JEAN MARIE COPELAND) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1295203404 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JEAN MARIE COPELAND |
| Plain-English Specialty | Licensed & Credentialed Nutritionist, Nutrition, Education NUCC Code: 133NN1002X (Nutritionist, Nutrition, Education) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1422 VT ROUTE 66, RANDOLPH, VT, 05060-7718 |
| Practice Telephone / Fax | Tel: (802) 728-7742 |
| Administrative Mailing Address | PO BOX 2000, RANDOLPH, VT, 05060-2000 |
| Enumeration & Last Sync | Enumerated: 2018-11-06 | CMS Record Updated: 2018-11-06 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (133NN1002X)
What Does Taxonomy Code 133NN1002X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133NN1002X translates to:
"Licensed & Credentialed Nutritionist, Nutrition, Education"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JEAN MARIE COPELAND)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
133NN1002X — Nutritionist, Nutrition, EducationPlain English: Licensed & Credentialed Nutritionist, Nutrition, Education | State: VT | License: 074.0118544 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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