CODY NICHOLAS HARRELL (NPI# 1699290353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699290353 |
| Entity Type | Individual |
| Full Name | CODY NICHOLAS HARRELL |
| Credential | NP |
| Practice Address |
290 N Wayte Ln # 2400 Fresno CA 93701-2124 |
| Mailing Address |
3240 Finchwood Ave Clovis CA 93619-8933 |
| Practice Telephone | 5594596168 |
| Mailing Telephone | 5595895064 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006750 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
290 N WAYTE LN # 2400 |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777394 | Laura Gonzalez | Nurse Practitioner | 4208 N Bain Ave, Fresno, CA 93722-0447 | 2020-10-15 |
| 1740818012 | Yolanda Tizcareno | Nurse Practitioner | 2210 E Illinois Ave Fl 4, Fresno, CA 93701-2125 | 2020-03-31 |
| 1760014443 | Nancy Alice Jordan | Nurse Practitioner | 30 E River Park Pl W Ste 440, Fresno, CA 93720-1547 | 2020-02-10 |
| 1508498924 | Laura Hoffman | Nurse Practitioner | 27577 Tr 203, Fresno, OH 43824 | 2020-02-05 |
| 1619515293 | Lanigail Pangilinan | Nurse Practitioner | 2610 E Nees Ave Apt 109, Fresno, CA 93720-6014 | 2019-12-14 |
| 1205470929 | Zouapa Kalani Vue | Nurse Practitioner | 3137 N Burl Ave, Fresno, CA 93727-8915 | 2019-11-06 |
| 1871136705 | Ademewo Agbebiyi | Nurse Practitioner | 1819 Bravos Manor Ln, Fresno, TX 77545-1467 | 2019-10-23 |
| 1104477447 | Tayler Wilborn | Nurse Practitioner | 1714 Purple Cherry Ln, Fresno, TX 77545-1449 | 2019-09-27 |
| 1669023149 | Jaspreet Kaur Mann | Nurse Practitioner | 2587 S Bundy Dr, Fresno, CA 93727-6588 | 2019-09-25 |
| 1336797091 | Ellen Kahn | Nurse Practitioner | 6251 S Valentine Ave, Fresno, CA 93706-9166 | 2019-08-27 |
| Find all providers in FRESNO | ||||
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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.