Cody Ericson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009597 Issued in CA

Practice address

400 W Mineral King Ave
Visalia, CA 93291-6237

Phone

(559) 624-5339

NPI assigned

May 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1972169340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 W CAMBRIDGE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774124",
            "telephone_number": "707-337-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "CODY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING (BRN)",
            "identifier": "95009597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myron Epps
• Nancy P Equihua
• Erick N. Cuenca DMD Inc
• Cory Erickson
• Olivia Grace Erickson, MD
• Erik Knudsen Marriage and Family Therapy Corporation
• Joseph Escalera
• Sonia Escalera, RDA
• Anthony Escobar
• Emil Eskander, DDS

• Family Nurse Practitioner in Visalia, CA
• Providers in Visalia, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.