Individual provider Active NPI

Felicia Lynn Cody, FNP

  • Family Nurse Practitioner
  • Lewiston, NY
National Provider Identifier
1992394761
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346852 Issued in NY
Practice address
550 Colt Ave
Lewiston, NY 14092-2110
Phone
(716) 523-9709
NPI assigned
Jan 15, 2021
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 346852 NY Primary

Addresses

Primary practice location

550 Colt Ave
Lewiston, NY 14092-2110

Mailing address

4575 Main St
Ste 1
Amherst, NY 14226-4567
Phone (716) 633-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210305001715 NY Practitioner - Nurse Practitioner 9133535743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Buffalo OBGYN LLPGroup PAC ID 4688798259, 8 clinicians

Practice addresses (Care Compare)

4575 Main St
Suite 1
Amherst, NY 14226-4567
Phone (716) 633-4575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
346852NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo OBGYN, LLP CurrentSince Mar 15, 2021 Accepting new patients

Locations

4575 Main St
Ste 1
Buffalo, NY 14226
Phone (716) 633-4575

Interoperability endpoints

  • Direct secure messaging: felicia.chandler.1@12523.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12523/brand/1/csg/1/fhir/r4

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1992394761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "address_2": "STE 1",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-633-4575",
            "fax_number": "716-633-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 COLT AVE",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922110",
            "telephone_number": "716-523-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "FELICIA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.