KATHRYN COSTELLO


Address: 700 24th St, Fort Lee, VA 23801-1716
Phone: 8047349295

KATHRYN COSTELLO (NPI# 1376532887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376532887
Entity Type Individual
Full Name KATHRYN COSTELLO
Credential NURSE PRACTITIONER
Practice Address 700 24th St
Fort Lee
VA 23801-1716
Practice Telephone 8047349295
Practice Fax Number 8047349016
Enumeration Date 2005-10-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
0024087895 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHRYN COSTELLO

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1043496888 Kathryn Costello Developmental Therapist 602 E Oakton St, Arlington Heights, IL 60004-4905 2008-01-10
1992225650 Kathryn Costello Counselor 3821 Southern Ave, Shreveport, LA 71106-1033 2017-06-23

Office Location

Street Address 700 24TH ST
City FORT LEE
State VA
Zip Code 23801-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366448334 Robert Stanley Brown Sr. Psychiatry & Neurology 700 24th St, Fort Lee, VA 23801-1716 2005-06-24
1306354196 Raquel Bopp Dietitian, Registered 700 24th St, Fort Lee, VA 23801-1716 2018-01-16
1316495419 Monica Jones Psychologist 700 24th St, Bldg 8130, Fort Lee, VA 23801-1716 2016-09-17
1316324445 Cody J Cole Pharmacist 700 24th St, Fort Lee, VA 23801-1716 2015-04-27
1598195174 Michael Hurst Physical Therapist 700 24th St, Fort Lee, VA 23801-1716 2013-11-19
1114355542 Zachary Marcus Leftwich Pharmacist 700 24th St, Fort Lee, VA 23801-1716 2013-10-22
1235578857 Elizabeth Ramona Brown Nurse Practitioner 700 24th St, Fort Lee, VA 23801-1716 2013-06-17
1881938793 Melanee Davis Pharmacist 700 24th St, Fort Lee, VA 23801-1716 2012-11-15
1871840793 Jasmin Isabel Filpo Optometrist 700 24th St, Fort Lee, VA 23801-1716 2012-08-09
1912264359 Pamela Annette Mcphearson Nurse Practitioner 700 24th St, Fort Lee, VA 23801-1716 2012-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790262384 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) Ft. Lee 300 A Ave., Fort Lee, VA 23801 2018-07-26
1770812190 Arkeye Optometrist 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 2009-12-14
1992911044 Claudis Andre' Williams Jr. Physician Assistant 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 2007-05-15
1982703013 Kenner Army Health Clinic Military/U.S. Coast Guard Pharmacy Bldg 3219, Ft Lee, VA 23801 2006-09-22
1922107044 Kenner Army Health Clinic Military/U.S. Coast Guard Pharmacy Bldg P8130, Ft Lee, VA 23801 2006-09-22
1538135157 Laurie Sue Giertz Physician Assistant 700 24th St Apt Hill, Fort Lee, VA 23801 2006-02-24
1689653396 Robert Keith Lather Emergency Medicine Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 2006-01-11
1265418370 Edward Cathright Jr. Dentist 504 Trenton Drive, Fort Lee, VA 23801 2005-12-20
1801854807 Mack Conley O'quinn Jr. Social Worker 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 2006-05-02
1083690028 Kimberly Ellen Newton Registered Nurse 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 2005-12-21
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1538790092 Megan Renae Deel Nurse Practitioner 14533 Peaceful Valley Rd, Abingdon, VA 24210-8109 2020-02-03
1609415249 Kaamilya King Nurse Practitioner 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 2019-12-30
1609419704 Crystal Zacker Nurse Practitioner 3843 Mountain Rd, Glen Allen, VA 23060-1936 2019-10-21
1144885849 Rachel Daou Featherstone Nurse Practitioner 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 2019-05-08
1326500976 Adetutu Marioghae Nurse Practitioner 12783 Sidney Way, Lake Ridge, VA 22192-7611 2019-04-03
1568928398 Laurie Carpenter Nurse Practitioner 1300 Hospital Dr Ste 202, Fredericksburg, VA 22401-8451 2019-02-18
1659871713 Emily Nobles Nurse Practitioner 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 2018-02-15
1619490661 Misti S Gray Nurse Practitioner 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 2017-07-21
1437604881 Rosalie Marie Gunson Nurse Practitioner 200 Executive Center Pkwy Ste 102, Fredericksburg, VA 22401-3177 2016-08-15
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Competitor

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City FORT LEE
Zip Code 23801

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Dataset Information

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.

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