Nicole Lyn Koda, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11008160 Issued in FL

Practice address

13425 Belcher Rd S
Largo, FL 33771-4009

Phone

(727) 221-9924

Fax

(727) 303-3193

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Valley View Hospital Association

  • Neurological Surgery Physician
  • Aspen, CO
  • NPI 1376134841
  Medicare reassignment Care Compare group
• Valley View Hospital Association

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Carbondale, CO
  • NPI 1457235202
  NPD
• Valley View Hospital Association

  • Gastroenterology Physician
  • Aspen, CO
  • NPI 1982226064
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Valley View Hospital Association

  • Ambulatory Surgical Clinic/Center
  • Basalt, CO
  • NPI 1649885849

  Hospital

  Care Compare affiliation
• Valley View Hospital Association

  • General Acute Care Hospital
  • Glenwood Springs, CO
  • NPI 1982668133
  Care Compare affiliation

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1487234662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714009",
            "telephone_number": "727-221-9924",
            "fax_number": "727-303-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714009",
            "telephone_number": "727-221-9924",
            "fax_number": "727-303-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODA",
        "first_name": "NICOLE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nicole@suncoastrheumatology.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mailto",
            "address_1": "13425 Belcher Rd S",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337714009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Knapp, RBT
• Ronald Lee Knaus, D.O.
• Tonia I Knight, RRT
• Dean Knoblach, HAS
• Ronald C Kobernick, D.D.S., M.SC.D.
• Jason Bruce Kombrinck, PT
• Komo Therapy, LLC
• Konrad McCree Jr
• Adam Kopiec, MD
• Allexes Koroleva

• Family Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.