Morgan Nicole Codere

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1200 Calumet St
Lake Linden, MI 49945

Phone

(906) 296-0799

NPI assigned

Mar 30, 2016

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1689037475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CALUMET ST",
            "city": "LAKE LINDEN",
            "state": "MI",
            "postal_code": "499451207",
            "telephone_number": "906-296-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALUMET ST",
            "city": "LAKE LINDEN",
            "state": "MI",
            "postal_code": "49945",
            "telephone_number": "906-296-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODERE",
        "first_name": "MORGAN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspirus Keweenaw (Aspirus Keweenaw Lake Linden Clinic)
• Aspirus Keweenaw Enterprise (Aspirus Keweenaw Pharmacy - Lake Linden)
• At Home Companions, Inc.
• Jenny M Bausano, FNP
• Camaryn Grayce Irene Crouch
• Marcella Elaine Fundum, RPH
• Bruce Robert Macdonald, D.D.S.
• Amanda Mattila
• Alaric Michael Nielson

• Athletic Trainer in Lake Linden, MI
• Providers in Lake Linden, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.