Cody Favaro, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

216158 Issued in LA

Practice address

2840 Florida St
Baton Rouge, LA 70802-2721

Phone

(225) 224-2402

NPI assigned

Nov 4, 2020

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Stat Care LLCGroup PAC ID 3870028491, 17 clinicians

PCP Urgent Care Holdings LLCGroup PAC ID 5092016816, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Louisiana Stat Care LLC

  • General Practice Physician
  • Baton Rouge, LA
  • NPI 1891517512
  Medicare reassignment Care Compare group NPD
• PCP Urgent Care Holdings LLC

  dba Patient Plus Urgent Care

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1245601038
  Medicare reassignment Care Compare group NPD
• PCP Urgent Care Holdings LLC

  dba Patient Plus Urgent Care

  • Durable Medical Equipment & Medical Supplies
  • New Orleans, LA
  • NPI 1598657025
  NPD
• R.T. Royal Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1255705828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1023619277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 FLORIDA ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708022721",
            "telephone_number": "225-224-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 FLORIDA ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708022721",
            "telephone_number": "225-224-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVARO",
        "first_name": "CODY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "216158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Faust, M.D.
• Melanie Faust, LCSW
• Gregory Lee Fautheree, MD
• Lindsey Richard Fauveau, MD
• Jordan Fauver, FNP-C
• Kiara Sharel Favorite
• Mondra Rose Fazely, M.A., CCC-SLP
• Frank L. Fazio, M.D., F.A.C.S.
• Judy L Fazio, LCSW
• Meagan Renee Fazzio, OD

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.