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CODY ALLEN BURGESS
NPI 1245174713
Peer Specialist in Blackfoot, ID

Active since April 16, 2026
495 N SHILLING AVE APT 1, BLACKFOOT, ID 83221(208) 643-4433 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cody Allen Burgess NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY ALLEN BURGESS (NPI 1245174713) is an individual peer specialist in Blackfoot, Idaho and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1245174713
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCODY ALLEN BURGESS
Location Address495 N SHILLING AVE APT 1Blackfoot, ID 83221-2336
Mailing Address385 Golden St Apt 1Blackfoot, ID 83221-2775 · (208) 646-0165
Phone(208) 643-4433
Sole ProprietorNo
Enumeration DateApril 16, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1245174713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
495 N SHILLING AVE APT 1, Blackfoot, ID 83221
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Burgess's NPI number?

The NPI number for Cody Burgess is 1245174713. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Cody Burgess located?

Cody Burgess practices at 495 N Shilling Ave Apt 1, Blackfoot, ID 83221. The listed phone number is (208) 643-4433.

What is Cody Burgess's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Cody Burgess was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.