Individual provider Active NPI

Janice Cody, FNP

  • Family Nurse Practitioner
  • La Pine, OR
National Provider Identifier
1194180562
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201507748NP-PP Issued in OR
Practice address
51600 Huntington Rd
La Pine, OR 97739-8887
Phone
(541) 536-3435
NPI assigned
Dec 29, 2015
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201507748NP-PP OR Primary

Addresses

Primary practice location

51600 Huntington Rd
La Pine, OR 97739-8887

Mailing address

PO Box 3300
La Pine, OR 97739-3300
Phone (541) 536-3435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160906000889 OR Practitioner - Nurse Practitioner 4880980648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Pine Community Health CenterGroup PAC ID 8224187018, 13 clinicians

Practice addresses (Care Compare)

51600 Huntington Rd
La Pine, OR 97739-9626

51600 S Huntington Dr
Suite C
Lapine, OR 97739-9626
Phone (541) 536-3435

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201507748NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Pine Community Health Center CurrentSince Aug 22, 2016 Accepting new patients
La Pine Community Health Center Past Accepting new patients

Locations

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

51600 Huntington Rd
Ste 101
La Pine, OR 97739
Phone (541) 536-3435

51600 Huntington Rd
Ste C
La Pine, OR 97739
Phone (541) 536-3435

Interoperability endpoints

  • Direct secure messaging: jcody188908@direct.ochin.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1194180562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3300",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977393300",
            "telephone_number": "541-536-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "JANICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201507748NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Pine, OR

Sources for this page

Verify at the official NPI Registry.