CODY PHILLIPS


Address: 1310 Chinook Ln, Pueblo, CO 81001-1851
Phone: 7195452746

CODY PHILLIPS (NPI# 1669846499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669846499
Entity Type Individual
Full Name CODY PHILLIPS
Practice Address 1310 Chinook Ln
Pueblo
CO 81001-1851
Practice Telephone 7195452746
Mailing Telephone 7195452746
Enumeration Date 2015-11-17
Last Update Date 2015-11-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers CODY PHILLIPS

NPI Name Taxonomy Address Enumeration
1730588641 Cody Phillips Pharmacist 489 Road 138, Cheyenne, WY 82007-9658 2014-08-15
1669944971 Cody Mitchell Phillips Student in an Organized Health Care Education/Training Program 1550 College St, Macon, GA 31207-1500 2018-12-27
1023461878 Cody Lee Phillips Physical Therapy Assistant 2300 Bethelview Rd, Ste 2013, Cumming, GA 30040-9475 2016-07-18
1881018430 Cody James Phillips General Practice 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 2014-02-18

Office Location

Street Address 1310 CHINOOK LN
City PUEBLO
State CO
Zip Code 81001-1851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174595565 Valerie E Schuster Counselor 1310 Chinook Ln, Pueblo, CO 81001-1851 2006-02-01
1669079554 Health Solutions Clinic/Center 1310 Chinook Ln, Pueblo, CO 81001-1851 2020-10-05
1982239067 Jordan Drake Case Manager/Care Coordinator 1310 Chinook Ln, Pueblo, CO 81001-1851 2020-03-09
1154967990 Jamie Trujillo Counselor 1310 Chinook Ln, Pueblo, CO 81001-1851 2019-11-26
1790334324 Chelsea Bruntmyer Peer Specialist 1310 Chinook Ln, Pueblo, CO 81001-1851 2019-09-06
1972061786 Sarah Johnson Counselor 1310 Chinook Ln, Pueblo, CO 81001-1851 2019-03-11
1639637127 Lisa Ochoa-lloyd Peer Specialist 1310 Chinook Ln, Pueblo, CO 81001-1851 2019-03-04
1891251724 Whitney White Social Worker 1310 Chinook Ln, Pueblo, CO 81001-1851 2019-02-15
1205332301 Robyn Matkovich Counselor 1310 Chinook Ln, Pueblo, CO 81001-1851 2018-04-05
1376045450 Kevin Wayne Wood Counselor 1310 Chinook Ln, Pueblo, CO 81001-1851 2018-03-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588222863 1111 Bonforte Opco LLC Respite Care 855 Hunter Dr., Pueblo, CO 81001 2019-06-03
1992276026 Andrew Benjamin Basham Counselor 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 2018-12-16
1316456981 Amy R Leibli Nurse Practitioner 1080 Chinook Lane, Pueblo, CO 81001 2017-09-26
1457781262 Ron Concialdi Dentist 2037 Jerry Murphy Rd., Pueblo, CO 81001 2013-11-14
1609146950 Natasha Liette Mondragon Registered Nurse 1302 E. 5th, Pueblo, CO 81001 2012-01-04
1023303575 Malinda Lee Davis Registered Nurse 1302 E 5th, Pueblo, CO 81001 2011-06-13
1679876429 Michael Edward Leyba Substance Abuse Rehabilitation Facility 4 Montebello Rd., Pueblo, CO 81001 2010-12-17
1609008796 Laura Ann Mcmahon Nurse Practitioner 4020 Jerry Murphy Rd/, Pueblo, CO 81001 2009-08-21
1730380882 Corrine Stella Tafoya Counselor 44 Calhoun Rd, Pueblo, CO 81001 2007-05-29
1518171008 George Henry Beck Dentist 1700 N Salem Ave, Suite A, Pueblo, CO 81001 2007-05-10
Find all providers in zip 81001

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790299725 Mi Casa Transitional Services Inc Peer Specialist 1611 Crestmoor Dr, Pueblo, CO 81001-2727 2017-11-29
1679196844 Ashley Warner Peer Specialist 2003 E 4th St, Pueblo, CO 81001-4150 2020-05-22
1194350322 Shannon Brooks Peer Specialist 2003 E 4th St, Pueblo, CO 81001-4150 2020-03-09
1790334324 Chelsea Bruntmyer Peer Specialist 1310 Chinook Ln, Pueblo, CO 81001-1851 2019-09-06
1346802709 Zinnia Martinez Peer Specialist 2003 E 4th St, Pueblo, CO 81001-4150 2019-07-05
1639637127 Lisa Ochoa-lloyd Peer Specialist 1310 Chinook Ln, Pueblo, CO 81001-1851 2019-03-04
1366949422 Abraham Ortiz Peer Specialist 2003 E 4th St, Pueblo, CO 81001-4150 2018-04-06
1083110183 Lawrence Chavez Jr. Peer Specialist 2003 E 4th St, Pueblo, CO 81001-4150 2018-04-05
1811493919 Robert Trujillo Peer Specialist 2003 E 4th St, Pueblo, CO 81001-4150 2018-04-05
1659877751 Tiffany Post Peer Specialist 2003 E 4th St, Pueblo, CO 81001-4150 2018-04-05
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81001

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Dataset Information

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.

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