Individual provider Active NPI

Kody Lewis Philpott, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1174411805
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11040346 Issued in FL
Practice address
13101 Telecom Dr Ste 120
Temple Terrace, FL 33637-0936
Phone
(239) 690-6906
NPI assigned
Jun 24, 2025
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11040346 FL Primary

Addresses

Primary practice location

13101 Telecom Dr Ste 120
Temple Terrace, FL 33637-0936

Mailing address

13101 Telecom Dr Ste 120
Temple Terrace, FL 33637-0936
Phone (239) 690-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250827000647 FL Practitioner - Nurse Practitioner 7012418601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2622 Cordoba Ranch Blvd
Lutz, FL 33559-3916

27716 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6962

4310 Metro Pkwy
Fort Myers, FL 33916-7952

7106 Cromwell Park LN
Apollo Beach, FL 33572-1728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Health Inc Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Partners in Medicine & Surgery, P.a. Single Specialty PastSince Sep 1, 2025 Accepting new patients
Bonita Springs Retirement Village, Inc. Single Specialty PastSince Mar 17, 2026 Accepting new patients
Dna Comprehensive Therapy Services, LLC PastSince Jun 3, 2025 Accepting new patients

Locations

4051 Upper Creek Dr
Ste 108
Sun City Ctr, FL 33573
Phone (813) 634-9264

27716 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 540-1466

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1174411805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 TELECOM DR STE 120",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370936",
            "telephone_number": "239-690-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 TELECOM DR STE 120",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370936",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILPOTT",
        "first_name": "KODY",
        "middle_name": "LEWIS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11040346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.