KRISTINE MARY CODY (NPI# 1386160166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386160166 |
| Entity Type | Individual |
| Full Name | KRISTINE MARY CODY |
| Practice Address |
3305 Central Park Village Dr Eagan MN 55121-7707 |
| Mailing Address |
1611 73rd St W Inver Grove Heights MN 55077-2001 |
| Practice Telephone | 6514068860 |
| Mailing Telephone | 3202609224 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5276 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2650 Rice St, Little Canada, MN 551132201 | 6514840504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740442243 | Kristine P Cody | Dentist | 1201 S Jackson, Unit #12, Pharr, TX 78577 | 2008-06-26 |
| Street Address |
3305 CENTRAL PARK VILLAGE DR |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-7707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369322 | Nicole Lynne Paterson | Pharmacist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2005-07-14 |
| 1528612017 | Sarah Jordan Shockley | Pharmacist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2019-08-01 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1316433188 | Tiffany Ka Yan Cheng | Pharmacist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-07-05 |
| 1689112443 | Jaime Petro | Physical Therapist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2017-02-01 |
| 1073057840 | Colette R Brogan | Occupational Therapist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2016-12-13 |
| 1760926661 | Aaron Pope | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2016-12-12 |
| 1750833562 | Fairview Health Services | Eyewear Supplier (Equipment, not the service) | 3305 Central Park Village Dr, Suite 160, Eagan, MN 55121-7707 | 2016-10-27 |
| 1811448210 | Fairview Express Care | Eyewear Supplier (Equipment, not the service) | 3305 Central Park Village Dr, Suite 160, Eagan, MN 55121-7707 | 2016-10-20 |
| 1508289562 | Fairview Health Services | Clinic/Center | 3305 Central Park Village Dr, Suite 210, Eagan, MN 55121-7707 | 2014-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| 1134465065 | Abby Rose Roth | Nurse Practitioner | 4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235 | 2012-12-20 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1639369325 | Sue Ann Vruno | Nurse Practitioner | 3708 Cardinal Way, Eagan, MN 55123-2237 | 2007-07-28 |
| 1710929062 | Lisa Eleanor Fahey-bleick | Nurse Practitioner | 4178 Knob Dr, Suite A, Eagan, MN 55122-2888 | 2006-06-12 |
| 1326009630 | Lisa Bojado | Nurse Practitioner | 2854 Highway 55 Ste 130, Eagan, MN 55121-1447 | 2006-03-29 |
| 1255964458 | Amy Eileen Anderson | Nurse Practitioner | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2020-02-16 |
| 1245876622 | Darrian Michelle Fisher | Nurse Practitioner | 2620 Eagan Woods Dr, Eagan, MN 55121-1138 | 2019-11-21 |
| 1043729932 | Shakyra Rivers | Nurse Practitioner | 4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235 | 2017-09-24 |
| 1801315585 | Josephat Muthiga Mutahi | Nurse Practitioner | 4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235 | 2017-09-14 |
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| 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.