Healthcare Provider Details

I. General information

NPI: 1447049887
Provider Name (Legal Business Name): MEGAN NICOLE CODY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 HITT ST
COLUMBIA MO
65212-1002
US

IV. Provider business mailing address

1288 COUNTY ROAD 2901
HIGBEE MO
65257-2950
US

V. Phone/Fax

Practice location:
  • Phone: 573-771-6600
  • Fax:
Mailing address:
  • Phone: 573-470-1690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number2007004964
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: