CODY L HARRY
NPI 1932777158
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Active since June 14, 2021PECOS Enrolled
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(775) 722-1072 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cody L Harry NPPES

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

CODY L HARRY (NPI 1932777158) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932777158
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCODY L HARRY
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149
Sole ProprietorNo
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
NPI 1932777158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cody L Harry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

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 Harry's NPI number?

The NPI number for Cody Harry is 1932777158. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Cody Harry located?

Cody Harry practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (775) 722-1072.

What is Cody Harry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cody Harry enrolled in Medicare?

Yes. Cody Harry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Harry was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.