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

Cody Matson

Individual provider Nurse Practitioner · NPI 1568974822

Cody Matson is a Nurse Practitioner in Coeur D Alene, Idaho. Licensed in Iowa, Idaho and Washington. Registered with an NPI since 2017.

Licensed in
IA, ID, WA
In the registry since
2017
Specialties on file
4

Practice location Address checks out

2199 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Phone: (208) 625-4888
Fax: (208) 625-5734
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP60967912 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence NP67131 (ID)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence G140540 (IA)
Psychiatry Physician Taxonomy 2084P0800X · Licence NP67131 (ID)

Record details

NPI number1568974822
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 26, 2017
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

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