1. Home
  2. Directory
  3. Maryland
  4. Laurel
  5. Nurse Practitioner
  6. NPI Profile

CODY NICOLE COLLAZO CRNP-PEDIATRICS
NPI 1417460056
Nurse Practitioner - Pediatrics in Laurel, MD

Active since November 06, 2017
805 WASHINGTON BLVD S, LAUREL, MD 20707(443) 492-4000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 6, 2017 (2 updates tracked since 2017).

About Cody Nicole Collazo Crnp-pediatrics NPPES

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

CODY NICOLE COLLAZO CRNP-PEDIATRICS (NPI 1417460056) is an individual pediatrics provider in Laurel, Maryland, licensed in Maryland (R213308) and active in the NPI registry since November 2017. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417460056
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCODY NICOLE COLLAZOCredential: CRNP-PEDIATRICS
Location Address805 WASHINGTON BLVD SLaurel, MD 20707-4611
Mailing Address127 N Patterson Park AveBaltimore, MD 21231-1659 · (443) 826-5850
Phone(443) 492-4000
Sole ProprietorNo
Enumeration DateNovember 6, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1417460056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R213308
805 WASHINGTON BLVD S, Laurel, MD 20707
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11803 York RdLutherville Timonium, MD 21093-5119 · Phone (443) 492-4000
Location 27010 Ritchie HwyGlen Burnie, MD 21061-2902 · Phone (443) 492-4000
Location 36100 Dobbin RdColumbia, MD 21045-5804 · Phone (443) 492-4000

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STANLEY MCCLELLAN SINKFORD III MD
Pediatrics
805 WASHINGTON BLVD S
LAUREL, MD 20707
Prince George's County (301) 686-5437
PM PEDIATRICS OF MARYLAND LLC
Clinic/Center (Urgent Care)
805 WASHINGTON BLVD S
LAUREL, MD 20707
Prince George's County (301) 686-5437
GLORIA PAK CPNP
Nurse Practitioner (Pediatrics)
805 WASHINGTON BLVD S
LAUREL, MD 20707
Prince George's County (301) 686-5437

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 Collazo's NPI number?

The NPI number for Cody Collazo is 1417460056. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Cody Collazo located?

Cody Collazo practices at 805 Washington Blvd S, Laurel, MD 20707. The listed phone number is (443) 492-4000.

What is Cody Collazo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Cody Collazo was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.