Active NPI
Jennifer Leigh Cody
- Foster Care Agency
- Flagstaff, AZ
National Provider Identifier
1275005068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 7682709
- Practice address
- 2583 Chof TRL
Flagstaff, AZ 86005-3737 - Phone
- (928) 660-2627
- NPI assigned
- Dec 18, 2018
- Last updated
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 7682709 | AZ | |
| Foster Care Agency | 253J00000X | 7682709 | AZ | Primary |
Addresses
Primary practice location
2583 Chof TRL
Flagstaff, AZ 86005-3737
Mailing address
2323 E Greenlaw LN Ste 10B
Flagstaff, AZ 86004-1849
Phone (928) 522-4517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7682709 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1275005068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 E GREENLAW LN STE 10B",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041849",
"telephone_number": "928-522-4517",
"fax_number": "928-774-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2583 CHOF TRL",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860053737",
"telephone_number": "928-660-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODY",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "7682709",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "AZ",
"license": "7682709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.