Active NPI
Stephanie A Cody
- Neonatal Nurse Practitioner
- Detroit, MI
National Provider Identifier
1477022721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 4704287935
- Practice address
- 4625 2ND Ave Apt 109
Detroit, MI 48201-1238 - Phone
- (586) 557-2837
- NPI assigned
- Nov 15, 2018
- Last updated
- Sep 29, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 4704287935 | MI | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 4704287935 | MI |
Addresses
Primary practice location
4625 2ND Ave Apt 109
Detroit, MI 48201-1238
Mailing address
4625 2ND Ave Apt 109
Detroit, MI 48201-1238
Phone (586) 557-2837
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1477022721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 2ND AVE APT 109",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011238",
"telephone_number": "586-557-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 2ND AVE APT 109",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011238",
"telephone_number": "586-557-2837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODY",
"first_name": "STEPHANIE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MI",
"license": "4704287935",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MI",
"license": "4704287935",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.