MEDICARE: CODY CLEVELAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2343882	MA
2	363LA2100X	Acute Care Nurse Practitioner	RN2343882	MA

General Provider Information

NPI Number	:	1801643416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CODY CLEVELAND

Provider Business Mailing Address
First Line	:	20 RIVERBANK RD
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-2506
Country	:	US
Telephone Number	:	413-387-9727
Fax Number	:

Provider Business Practice Location Address
First Line	:	86 ASHLEY AVE
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01089-1302
Country	:	US
Telephone Number	:	413-693-2852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2024
Last Update Date	:	08/21/2024

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1164383642 — VIKTOR SHALYPIN NP
Practice Location Address:

86 ASHLEY AVE
WEST SPRINGFIELD, MA
01089-1302

Practice Phone: 413-693-2852
Practice Fax:

1689013906 — DR. MICHAEL CHILL M.D.
Practice Location Address:

86 ASHLEY AVE
WEST SPRINGFIELD, MA
01089-1302

Practice Phone: 413-693-2854
Practice Fax: 413-693-2854

1598216921 — S. LOWELL KAHN MD PC
Practice Location Address:

86 ASHLEY AVE
WEST SPRINGFIELD, MA
01089-1302

Practice Phone: 413-693-2852
Practice Fax: 413-693-2854

1154057867 — VASCULAR SPECIALISTS PC
Practice Location Address:

86 ASHLEY AVE
W SPRINGFIELD, MA
01089-1302

Practice Phone: 413-693-2852
Practice Fax: 413-469-2854

Directions to “ CODY CLEVELAND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.