KATHARINE COSTA (NPI# 1548749682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548749682 |
| Entity Type | Individual |
| Full Name | KATHARINE COSTA |
| Credential | RN, NP |
| Practice Address |
13309 Marie Ln Manor TX 78653-3860 |
| Mailing Address |
151 Ivy St Fl 2 Providence RI 02906-2526 |
| Practice Telephone | 4013166345 |
| Mailing Telephone | 4013166345 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2019-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN63417 | RI | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
926479 | TX | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN02106 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13309 MARIE LN |
| City | MANOR |
| State | TX |
| Zip Code | 78653-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293112 | Angelica Marie Griffin | Residential Treatment Facility, Emotionally Disturbed Children | 12500 Shadowglen Trace 3204, Manor, TX 78653 | 2020-04-06 |
| 1215591391 | Manor Total Dental and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 11828 Ring Dr. Ste 102, Manor, TX 78653 | 2019-04-24 |
| 1932698412 | New Hope Ranch | Substance Abuse Rehabilitation Facility | 11908 Sparks Road, Manor, TX 78653 | 2018-05-09 |
| 1649788332 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 12700 Lexington Street, Suite 220, Manor, TX 78653 | 2018-01-16 |
| 1760998934 | Open Hearts & Open Doors Group Home Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11605 Mill Ridge Trce, Manor, TX 78653 | 2017-12-22 |
| 1184089443 | Manor Family Orthodontics, Pllc | Dentist | 11828 Ring Dr, Ste 102, Manor, TX 78653 | 2015-12-30 |
| 1225424542 | Rsvp Healthcare Alliance, LLC | Pharmacy | 14008 Shadow Glen Blvd, Ste 102, Manor, TX 78653 | 2015-04-14 |
| 1023410560 | Demitra Stephens Haynes | In Home Supportive Care | 18116 Flathead Dr, Manor, TX 78653 | 2014-09-16 |
| 1922429836 | Wal-mart Stores Texas LLC | Technician/Technologist | 11923 Us Hwy 290 E, Manor, TX 78653 | 2013-12-18 |
| 1710326434 | Lizania Montero | Dentist | 11300 Hwy 290 E, Suite 200, Manor, TX 78653 | 2013-06-15 |
| Find all providers in zip 78653 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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| 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.