Shanell Cody

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

693195298 Issued in FL

Practice address

4130 Country Club Rd S
Winter Haven, FL 33881-8228

Phone

(863) 210-4292

Fax

(863) 875-5348

NPI assigned

Aug 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Grace Care Ser LLC

  • Home Health Agency
  • Winter Haven, FL
  • NPI 1619331451
  NPD Authorized official
• Grace Care Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Winter Haven, FL
  • NPI 1922467851
  NPD Authorized official

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1245462928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338820081",
            "telephone_number": "863-210-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 COUNTRY CLUB RD S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338818228",
            "telephone_number": "863-210-4292",
            "fax_number": "863-875-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "SHANELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA87627",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "693195296",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "693195298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002344700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693195296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Clifford, ARNP
• Cloud Chiropractic of Winter Haven
• Karen Cobb
• Cynthia M Cochran, LCSW
• Carey Coco, APRN, FNP, RN
• Jeffrey Coe Jr., HAS
• Marla L Coello, DMD
• Valencia C Coffer, APRN
• Briana Renee Coffman Dicesare, LMHC
• Cogent Healthcare of Pensacola LLC

• Nurse's Aide in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.