Individual provider Active NPI

Cody Bruce Pittman, MSN, APRN. PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1205422839
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3015591 Issued in KY
Practice address
13050 Magisterial Dr Ste 100
Louisville, KY 40223-5181
Phone
(502) 225-3299
Fax
(502) 600-4373
NPI assigned
Dec 17, 2020
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 3015591 KY Primary

Addresses

Primary practice location

13050 Magisterial Dr Ste 100
Louisville, KY 40223-5181

Mailing address

2901 Hickory Hill CT
La Grange, KY 40031-8666
Phone (502) 225-3299

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL email

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220328000669 KY Practitioner - Nurse Practitioner 2961894738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Neurons Psychiatry LLCGroup PAC ID 1052703824, 5 clinicians

Practice addresses (Care Compare)

2901 Hickory Hill CT
La Grange, KY 40031-8666
Phone (502) 225-3299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Neurons Psychiatry LLC Psychiatric/Mental Health CurrentSince Dec 15, 2021 Accepting new patients

Locations

13050 Magisterial Dr
Ste 100
Louisville, KY 40223
Phone (502) 225-3299

2527 Nelson Miller Pkwy
Ste 105
Louisville, KY 40223
Phone (502) 225-3299

Organizations & group practices 1

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": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1205422839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 HICKORY HILL CT",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400318666",
            "telephone_number": "502-225-3299",
            "fax_number": "502-600-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 MAGISTERIAL DR STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235181",
            "telephone_number": "502-225-3299",
            "fax_number": "502-600-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "CODY",
        "middle_name": "BRUCE",
        "credential": "MSN, APRN. PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3015591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "1612 Dawkins Rd",
            "city": "LA Grange",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400318729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.