CARYN LEE JACKSON-COSTELLO (NPI# 1023580545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023580545 |
| Entity Type | Individual |
| Full Name | CARYN LEE JACKSON-COSTELLO |
| Practice Address |
229h Medallion Boulevard Madeira Beach FL 33708 |
| Practice Telephone | 7274120569 |
| Mailing Telephone | 7274120569 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
229H MEDALLION BOULEVARD |
| City | MADEIRA BEACH |
| State | FL |
| Zip Code | 33708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1073929634 | Blake Burnett | Student in an Organized Health Care Education/Training Program | 9200 113th Street, Saint Petersburg, FL 33708 | 2014-07-03 |
| 1568876084 | Lori R Hassinger Pa | Optometrist | 10127 Bay Pines Blvd, Saint Petersburg, FL 33708 | 2014-06-12 |
| 1043596927 | Elizabeth Wedman-st. Louis | Dietitian, Registered | 17920 Gulf Blvd, Ste 606, Redington Shores, FL 33708 | 2011-10-24 |
| 1033492301 | Irina S Solonenko | Pharmacist | 674 E Welch Causeway, Madeira Beach, FL 33708 | 2011-09-23 |
| 1962630277 | Rebekah Anne Smith | Optometrist | 15037 Madeira Way, Madeira Beach, FL 33708 | 2009-06-25 |
| 1952535973 | Ronald A Luscomb | Nurse Practitioner | 16110 Redington Drive, Redington Beach, FL 33708 | 2009-05-05 |
| 1679753933 | We Care Home Health Inc | Home Health | 10911 53rd Av No, St Petersburg, FL 33708 | 2007-11-05 |
| 1740408798 | The Hoffman Clinic, P.a. | Acupuncturist | 13495 Gulf Boulevard, Madeira Beach, FL 33708 | 2007-04-23 |
| 1275653529 | Anthony Joseph Schweiger | Dentist | 100 153 Ave, Madeira Beach, FL 33708 | 2007-03-30 |
| Find all providers in zip 33708 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232967 | Amanda Darnell O'berry | Technician | 6531 Berryhill Rd, Milton, FL 32570-6822 | 2020-10-14 |
| 1598363590 | Bergeline Lexis | Technician | 8836 Viking Ln, Lakeland, FL 33809-1751 | 2020-10-12 |
| 1629685201 | Lynda Wilkes Dekold | Technician | 4110 Sw 63rd Blvd, Gainesville, FL 32608-3924 | 2020-09-28 |
| 1134736952 | Robin Lynn Knight | Technician | 1125 Anolas Way, Lutz, FL 33548-2902 | 2020-09-25 |
| 1689289969 | Golden Life Senior Services LLC | Technician | 2595 Sanford Ave, Sanford, FL 32773-4606 | 2020-09-13 |
| 1760096945 | Hermina Cyntje | Technician | 13060 Waterbourne Dr, Gibsonton, FL 33534-3908 | 2020-09-03 |
| 1154933273 | Erica Petithomme | Technician | 3935 Ne 22nd Ave, Cape Coral, FL 33909-3282 | 2020-08-19 |
| 1063021889 | Stacey Wilcox | Technician | 1447 Nw Wayne Pl Apt 105, Lake City, FL 32055-6107 | 2020-07-28 |
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1689290264 | Amanda Michelle White | Technician | 938 Geary St Sw, Palm Bay, FL 32908-4206 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | MADEIRA BEACH |
| Zip Code | 33708 |
Please comment or provide details below to improve the information on CARYN LEE JACKSON-COSTELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.