DR. JENNIFER ANN CODDINGTON (NPI# 1346209392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346209392 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANN CODDINGTON |
| Credential | DNP, MSN, RN, CPNP |
| Practice Address |
502 N University St Johnson Hall Rm B-5 West Lafayette IN 47907-2069 |
| Practice Telephone | 7654946341 |
| Practice Fax Number | 7654961022 |
| Mailing Telephone | 7654946341 |
| Mailing Fax Number | 7654961022 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2009-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71000722A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PHCS PID NUMBER | 9397700 | 01 |
| IN | ANTHEM PROVIDER NUMBER | 000000351155 | 01 |
| IN | 200299820 | 05 |
| Street Address |
502 N UNIVERSITY ST JOHNSON HALL RM B-5 |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47907-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124264502 | Azza H Ahmed | Nurse Practitioner | 502 N University St, West Lafayette, IN 47907-2069 | 2009-01-06 |
| 1740293455 | Elizabeth A Oneil | Nurse Practitioner | 502 N University St, Johnson Hall Rm B5, West Lafayette, IN 47907-2069 | 2006-08-14 |
| 1396701496 | Rhoberta Jones Haley | Nurse Practitioner | 502 N University St, West Lafayette, IN 47907-2069 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274464 | Christine Michelle Jones | Nurse Practitioner | Lyles-porter Hall 715 Clinic Drive, West Lafayette, IN 47907 | 2020-01-15 |
| 1013415033 | Brianna Johnson | Psychologist | 601 Stadium Mall Drive, Purdue University Student Health Center, 2nd Floor, West Lafayette, IN 47907 | 2018-01-24 |
| 1285095885 | Christina Ellen Manfred | Nurse Practitioner | 601 W. Stadium Ave, West Lafayette, IN 47907 | 2016-03-10 |
| 1265612626 | Anu Subramanian | Speech-Language Pathologist | 500 Oval Drive Purdue University, Dept of Speech Language and Hearing Sciences, West Lafayette, IN 47907 | 2007-11-13 |
| 1720163348 | Andrea Lynn Lopez | Specialist/Technologist | 900 N. University Ave, Room B63, West Lafayette, IN 47907 | 2006-10-25 |
| 1912914680 | Jeanette Stone Leonard | Audiologist | 715 Clinic Drive, Purdue University, West Lafayette, IN 47907 | 2006-08-02 |
| 1447224977 | Lindsey Ann Watson | Specialist/Technologist | 900 N University Dr, Mackey Arena, Room B60, West Lafayette, IN 47907 | 2006-02-13 |
| 1992280960 | Carol Callahan Lancaster | Nurse Practitioner | 601 Stadium Mall Drive, West Lafayette, IN 47907 | 2018-09-26 |
| 1104314046 | Lukas Micheal Passalacqua | Specialist/Technologist | 900 N John R Wooden Dr, West Lafayette, IN 47907 | 2018-04-26 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| Find all providers in zip 47907 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427578863 | Sherry Robin Franscoviak | Nurse Practitioner | 915 Sagamore Pkwy W, West Lafayette, IN 47906-1443 | 2017-06-27 |
| 1124264502 | Azza H Ahmed | Nurse Practitioner | 502 N University St, West Lafayette, IN 47907-2069 | 2009-01-06 |
| 1013976588 | Marcia Ann Stroup | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1700420031 | Randi D Bragg | Nurse Practitioner | Marion Pediatrics, 1411w Bella Drive, Marion, IN 46953-5250 | 2019-10-30 |
| 1659923761 | Elizabeth Marie Bowen | Nurse Practitioner | 13914 Southeastern Pkwy Ste 300, Fishers, IN 46037-7126 | 2019-07-10 |
| 1912462664 | Mindy Kay Krsak | Nurse Practitioner | 3229 Broadway Ste 205, Gary, IN 46409-1038 | 2019-02-06 |
| 1497221154 | Christina Ownbey | Nurse Practitioner | 517 Ball Dr Unit 302, Hanover, IN 47243-9656 | 2018-10-22 |
| 1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
| 1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
| 1043688211 | Mary Hendrix | Nurse Practitioner | 3118 S Lafountain St # At, Kokomo, IN 46902-3710 | 2015-09-04 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47907 |
Please comment or provide details below to improve the information on DR. JENNIFER ANN CODDINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.