Active NPI
Kerri Coduti
- Adult Health Nurse Practitioner
- Carrollton, TX
National Provider Identifier
1285187161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP130609
- Practice address
- 3730 N Josey LN
#104
Carrollton, TX 75007-2484 - Phone
- (972) 492-0333
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP130609 | TX | Primary |
Addresses
Primary practice location
3730 N Josey LN
#104
Carrollton, TX 75007-2484
Mailing address
3730 N Josey LN
#104
Carrollton, TX 75007-2484
Phone (972) 492-0333
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1285187161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 N JOSEY LN",
"address_2": "#104",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072484",
"telephone_number": "972-492-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 N JOSEY LN",
"address_2": "#104",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072484",
"telephone_number": "972-492-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODUTI",
"first_name": "KERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP130609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.