Cody David Drudge

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

201 E Rudisill Blvd Ste 100B
Fort Wayne, IN 46806-1756

Phone

(260) 255-3665

NPI assigned

Jan 19, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1124733654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E RUDISILL BLVD STE 100B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E RUDISILL BLVD STE 100B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061756",
            "telephone_number": "260-255-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUDGE",
        "first_name": "CODY",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donna Driscoll
• Chelsea Lynn Driver, M.S., LAT, ATC
• Norma J Driver, NP
• DRS. Nelson & Menon
• Kimbra A Druley, DDS
• Christina C Drummond, M.D.
• Kathryn G Drummond, AU.D
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• Behavior Technician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.