Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Allen Burgess

Individual provider Peer Specialist · NPI 1245174713

Cody Allen Burgess is a Peer Specialist in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

495 N Shilling Ave Apt 1
Blackfoot, ID 83221-2336
Phone: (208) 643-4433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (ID)

Record details

NPI number1245174713
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 15, 2026
Mailing address385 Golden St Apt 1, Blackfoot, ID 83221-2775

Other providers in Blackfoot