Provider Demographics
NPI:1558168799
Name:MORRIS, KODIE MICHELLE (CNA, HHA)
Entity type:Individual
Prefix:
First Name:KODIE
Middle Name:MICHELLE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CNA, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 SYFRETT RD
Mailing Address - Street 2:
Mailing Address - City:COTTONDALE
Mailing Address - State:FL
Mailing Address - Zip Code:32431-7647
Mailing Address - Country:US
Mailing Address - Phone:850-372-2027
Mailing Address - Fax:
Practice Address - Street 1:2241 SYFRETT RD
Practice Address - Street 2:
Practice Address - City:COTTONDALE
Practice Address - State:FL
Practice Address - Zip Code:32431-7647
Practice Address - Country:US
Practice Address - Phone:850-372-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL342850174H00000X, 175T00000X, 372600000X, 172A00000X, 172V00000X, 373H00000X, 3747P1801X, 374700000X, 376J00000X, 3747A0650X, 376K00000X, 405300000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No174H00000XOther Service ProvidersHealth Educator
No175T00000XOther Service ProvidersPeer Specialist
No372600000XNursing Service Related ProvidersAdult Companion
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374700000XNursing Service Related ProvidersTechnician
No376J00000XNursing Service Related ProvidersHomemaker
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No376K00000XNursing Service Related ProvidersNurse's Aide
No405300000XOther Service ProvidersPrevention Professional