BRENDA LEE COSTELLO-WELLS (NPI# 1447258314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447258314 |
| Entity Type | Individual |
| Full Name | BRENDA LEE COSTELLO-WELLS |
| Credential | CNS APRN |
| Practice Address |
1500 N Ritter Ave Indianapolis IN 46219-3027 |
| Mailing Address |
6626 E 75th Street Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3173552560 |
| Practice Fax Number | 3173552418 |
| Mailing Telephone | 3176217561 |
| Mailing Fax Number | 3173556096 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
70000059A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100270530 | 05 | |
| IN | 200223310 | 05 |
| Street Address |
1500 N RITTER AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379873 | Raymond Edward Baker | Nurse Anesthetist, Certified Registered | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2005-07-12 |
| 1104430602 | Danielle Smock | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-09-02 |
| 1245848399 | Brian David Wenger | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-07-15 |
| 1306467642 | Madison Taylor Walrod | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-28 |
| 1205457629 | Nicole Elizabeth Heffern | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-27 |
| 1760003198 | Leah Paulette Dearmond | Nurse Practitioner | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-27 |
| 1487274411 | Connor James Hummel | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-20 |
| 1922628072 | Tyler John Siefring | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-19 |
| 1649818188 | Alison Pearl Hicks | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2019-12-16 |
| 1407404676 | Larissa C Smith | Nurse Practitioner | 1500 N Ritter Ave, Medical Associates Business Office, Indianapolis, IN 46219-4621 | 2019-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457765083 | Yolanda Bray | Clinical Nurse Specialist | 8320 Madison Ave, Indianapolis, IN 46227-6066 | 2014-06-11 |
| 1578983656 | Lee G Juarez | Clinical Nurse Specialist | 8320 Madison Ave, Indianapolis, IN 46227-6066 | 2014-04-16 |
| 1164528907 | Ukamaka Marian Oruche | Clinical Nurse Specialist | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2006-09-16 |
| 1598860918 | Mary Ann Bangs | Clinical Nurse Specialist | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2006-09-13 |
| 1437161387 | Deborah A. Stamper | Clinical Nurse Specialist | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2006-08-12 |
| 1861467318 | Jane Narciso Newkirk | Clinical Nurse Specialist | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2006-02-20 |
| 1962496919 | Diana J Kemper | Clinical Nurse Specialist | 6470 N Shadeland Ave, Suite C, Indianapolis, IN 46220-4390 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591156 | Susan Kersey | Clinical Nurse Specialist | 415 N 26th St, Suite 201, Lafayette, IN 47904-2856 | 2005-07-12 |
| 1841580875 | Rhonda J Palmer | Clinical Nurse Specialist | 3620 W White River Blvd, Muncie, IN 47304 | 2011-04-11 |
| 1194028696 | Pamela Joyce Stachler | Clinical Nurse Specialist | 202 Myers Rd, Danville, IN 46122-9702 | 2010-12-06 |
| 1649425844 | Bonnie L Frye | Clinical Nurse Specialist | 7 East Hendricks Street, Shelbyville, IN 46176-2124 | 2008-12-02 |
| 1346308202 | Laura Beth Hawkins | Clinical Nurse Specialist | 3660 Rome Dr, Lafayette, IN 47905-4488 | 2006-12-04 |
| 1912975699 | Judith A Goodwin | Clinical Nurse Specialist | 145 W Green Meadows Dr, Greenfield, IN 46140-4001 | 2006-03-09 |
| 1124016050 | Aspire Indiana Inc | Clinical Nurse Specialist | 9615 E 148th St, Suite 1, Noblesville, IN 46060-4371 | 2005-10-13 |
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on BRENDA LEE COSTELLO-WELLS.
| 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.