Cody Bryan Harris, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP1527A Issued in ID

Practice address

1522 17TH St
Lewiston, ID 83501-3652

Phone

(208) 743-8416

Fax

(208) 743-4642

NPI assigned

Oct 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID, WA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vannvei LLCGroup PAC ID 1254743420, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Lewiston, ID, CCN 137303
• Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
• St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vannvei LLC

  • Multi-Specialty Clinic/Center
  • Lewiston, ID
  • NPI 1881200517

  ID

  Medicare reassignment Care Compare group NPD
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1598814352

  ID, WA

  Medicare reassignment NPD
• Vannvei LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clarkston, WA
  • NPI 1124186804
  Care Compare group NPD
• Tri-State Memorial Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lewiston, ID
  • NPI 1386690907
  NPD
• Tri-State Memorial Hospital

  • Community Based Hospice Care Agency
  • Clarkston, WA
  • NPI 1831100254
  NPD
• Tri State Health Services

  • Home Delivered Meals
  • Steubenville, OH
  • NPI 1164145785
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alpowa Healthcare, Inc.

  • Home Health Agency
  • Lewiston, ID
  • NPI 1134899719
  Care Compare affiliation
• St Joseph Hospital LLC

  • Oxygen Equipment & Supplies (DME)
  • Lewiston, ID
  • NPI 1992231799

  Hospital

  Care Compare affiliation
• St. Joseph Hospital LLC

  • General Acute Care Hospital
  • Lewiston, ID
  • NPI 1225090954

  Hospital

  Care Compare affiliation
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1760485221

  Hospital

  Care Compare affiliation
• Tri-State Memorial Hospital

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1932405693

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1992081467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010341",
            "telephone_number": "208-743-8416",
            "fax_number": "208-743-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 17TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013652",
            "telephone_number": "208-743-8416",
            "fax_number": "208-743-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CODY",
        "middle_name": "BRYAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-28",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000676",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP1527A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cody.harris@tsmh.medicity.net",
            "affiliation": "N",
            "address_1": "1522 17th St",
            "city": "Lewiston",
            "state": "ID",
            "country_code": "US",
            "postal_code": "835013652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Regan Bennett Hansen, MD
• Margaret Harlow
• Randall Wayne Harper, PH.D., M.ED., B.S.ED
• Larry Dean Harries, MD
• Cindy Renea Harris-Lindauer, LMSW
• Jeffrey L Harris, M.D.
• Juan David Hart
• Cassidy F Hartshorn, LICSW,LCSW
• Grace Lynn Hartwig
• Krista Lynn Harwick, NP-C

• All providers in Lewiston, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.