Jennifer L Cody, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4048 Issued in CO

Practice address

1111 Pueblo Boulevard Way Ste 110
Pueblo, CO 81005-1687

Phone

(719) 584-2692

Fax

(719) 584-2692

NPI assigned

Nov 13, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548331283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PUEBLO BOULEVARD WAY STE 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051687",
            "telephone_number": "719-584-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PUEBLO BOULEVARD WAY STE 110",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051687",
            "telephone_number": "719-584-2692",
            "fax_number": "719-584-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Prof.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.