Individual provider Active NPI

Cody Michael Neises, FNP-C

  • Family Nurse Practitioner
  • Cold Spring, KY
National Provider Identifier
1871334011
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4024607 Issued in KY
Practice address
375 Crossroads Blvd, Cold Spring, Ky 41076
Cold Spring, KY 41076
Phone
(859) 448-1201
NPI assigned
Jun 3, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 4024607 KY Primary

Addresses

Primary practice location

375 Crossroads Blvd, Cold Spring, Ky 41076
Cold Spring, KY 41076

Mailing address

375 Crossroads Blvd, Cold Spring, Ky 41076
Cold Spring, KY 41076
Phone (859) 448-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Aug 12, 2024 Accepting new patients

Locations

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

130 Pavilion Pkwy
Newport, KY 41071
Phone (859) 292-5680

375 Cross Roads Blvd
Newport, KY 41076
Phone (859) 448-1170

Organizations & group practices 1

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1871334011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 CROSSROADS BLVD, COLD SPRING, KY 41076",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-448-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 CROSSROADS BLVD, COLD SPRING, KY 41076",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "41076",
            "telephone_number": "859-448-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISES",
        "first_name": "CODY",
        "middle_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4024607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, KY

Sources for this page

Verify at the official NPI Registry.