Individual provider Active NPI

Aldene Codling

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1740450675
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3122072 Issued in FL
Practice address
1860 SW Fountainview Blvd
Port Saint Lucie, FL 34986-4535
Phone
(772) 204-5110
NPI assigned
Mar 6, 2008
Last updated
May 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3122072 FL Primary

Addresses

Primary practice location

1860 SW Fountainview Blvd
Port Saint Lucie, FL 34986-4535

Mailing address

1860 SW Fountainview Blvd Ste 110
Port Saint Lucie, FL 34986-4535
Phone (772) 204-5110

Other practice location 1

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258-5172
Phone (480) 862-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, CO, CA, ME, AZ, TX, CT8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20081231000233 FL Practitioner - Nurse Practitioner 6709948664 Reassigns benefits to 1 organization
I20180607001039 NY Practitioner - Nurse Practitioner 6709948664 Reassigns benefits to 2 organizations
I20221128001988 CO Practitioner - Nurse Practitioner 6709948664 Reassigns benefits to 1 organization
I20230421000540 CA Practitioner - Nurse Practitioner 6709948664 Reassigns benefits to 1 organization
I20230823003760 ME Practitioner - Nurse Practitioner 6709948664 Reassigns benefits to 1 organization
I20240111000566 AZ Practitioner - Nurse Practitioner 6709948664 Reassigns benefits to 1 organization
I20240508003645 TX Practitioner - Nurse Practitioner 6709948664 Reassigns benefits to 1 organization
I20240520003101 CT Practitioner - Nurse Practitioner 6709948664 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11167CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Apr 1, 2023 Accepting new patients
Matrix Medical Plus CurrentSince Aug 1, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2025 Accepting new patients
Matrix Medical of New York PC CurrentSince Apr 29, 2018 Accepting new patients
Signify Health, LLC CurrentSince Aug 1, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Nov 14, 2023 Accepting new patients
Oahu Home Care LLC PastSince Sep 1, 2018 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894

2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

6 City Ctr
Portland, ME 04101

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 10

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1740450675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD STE 110",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864535",
            "telephone_number": "772-204-5110",
            "fax_number": "855-442-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864535",
            "telephone_number": "772-204-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "STE 220",
            "address_purpose": "LOCATION",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585172",
            "country_code": "US",
            "telephone_number": "480-862-1677",
            "fax_number": "480-718-7643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODLING",
        "first_name": "ALDENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3122072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.