Individual provider Active NPI

Desiree Amber Cody, APRN-FNP

  • Family Nurse Practitioner
  • Palestine, TX
National Provider Identifier
1427728435
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1052123 Issued in TX
Practice address
4002 S Loop 256
Palestine, TX 75801-8491
Phone
(903) 731-5030
NPI assigned
Sep 20, 2021
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1052123 TX
Family Nurse Practitioner 363LF0000X 1052123 TX Primary

Addresses

Primary practice location

4002 S Loop 256
Palestine, TX 75801-8491

Mailing address

411 SW 5TH St
Kerens, TX 75144-3300
Phone (903) 880-7395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230406001625 TX Practitioner - Nurse Practitioner 6305211210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.93 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1052123TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Point - Desoto LLC Family CurrentSince Dec 25, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Navarro Emergency Physicians PLLC Nurse Practitioner CurrentSince Feb 25, 2025 Accepting new patients

Locations

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1601 Elm St
Ste 4210
Dallas, TX 75201

1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220

1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Organizations & group practices 3

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1427728435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SW 5TH ST",
            "city": "KERENS",
            "state": "TX",
            "postal_code": "751443300",
            "telephone_number": "903-880-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018491",
            "telephone_number": "903-731-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "DESIREE",
        "middle_name": "AMBER",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1052123",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1052123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.