MR. JOSEPH L COSTA (NPI# 1578802864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578802864 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH L COSTA |
| Credential | CRNP |
| Practice Address |
460 River Ave Williamsport PA 17701 |
| Mailing Address |
100 N Academy Ave Credentials Dept Danville PA 17822-4903 |
| Practice Telephone | 5702135221 |
| Practice Fax Number | 5702273316 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP012744 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3832 Yalick Plaza Route 415, Unit 7, Dallas, PA 186127753 | 5702135221 | 5702273316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326350299 | Joseph F Costa | Specialist | 1313 Trail Glen Ln, Lutz, FL 33549-4083 | 2010-07-08 |
| 1972726230 | Joseph C Costa | Chiropractor | 6446 Xerxes Av S, Edina, MN 55423-1039 | 2007-04-11 |
| 1558429464 | Joseph Costa | Optometrist | 4600 Alum Rock Ave Ste 4, San Jose, CA 95127-2463 | 2006-12-04 |
| 1801868161 | Joseph W Costa Jr. | Dentist | 227 Russell St, Worcester, MA 01602-2126 | 2006-02-02 |
| 1235630294 | Joseph Costa | Dentist | 4130 Bloomfield Ave, Drexel Hill, PA 19026-3803 | 2018-02-26 |
| 1467872622 | Joseph Costa | Student in an Organized Health Care Education/Training Program | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2014-04-25 |
| 1720355506 | Joseph A Costa | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2011-11-22 |
| 1649335316 | Joseph Costa | Physician Assistant | 177 Fort Washington Ave, Milstein Pavilion, Suite 7-435, Cardiothoracic Surgery, New York, NY 10032-3733 | 2006-12-23 |
| 1114099777 | Joseph J Costa | Pharmacist | 800 Main St, Dickson City, PA 18519-1546 | 2006-11-15 |
| 1649211046 | Joseph J Costa | Internal Medicine | 301 Saint Paul Pl, 11th Floor, Baltimore, MD 21202-2102 | 2006-06-09 |
| Street Address |
460 RIVER AVE |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831723238 | Bradley Crum | Physical Therapy Assistant | 460 River Ave, Williamsport, PA 17701-3723 | 2020-02-25 |
| 1063046613 | Martha Jean Hodge | Physical Therapist | 460 River Ave, Williamsport, PA 17701-3723 | 2020-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184108540 | Felicia Ann Kelly | Nurse Practitioner | 1705 Warren Ave Ste 303, Williamsport, PA 17701-2665 | 2018-09-21 |
| 1295114130 | Amber Lynn Petty | Nurse Practitioner | 131 W Edwin St, Williamsport, PA 17701-6131 | 2015-05-26 |
| 1174694467 | Linda Berrisford | Nurse Practitioner | 1731 Ringer Ln, Williamsport, IN 47993-8900 | 2006-11-10 |
| 1265495915 | Olivia D. Ott | Nurse Practitioner | 904 Campbell Street, Suite 203, Williamsport, PA 17701 | 2006-04-11 |
| 1679187280 | Alvine Naliaka Taylor | Nurse Practitioner | 1201 Grampian Blvd Ste 1a, Williamsport, PA 17701-1965 | 2020-09-01 |
| 1649889205 | Cody Edward Cooper | Nurse Practitioner | 740 High St Ste 1003, Williamsport, PA 17701-3102 | 2020-07-29 |
| 1346862745 | Kyle Creighton Thiel | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1907 | 2020-05-08 |
| 1629610480 | Andrea Liebersohn | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1184266918 | Erica Jeanne Ernest | Nurse Practitioner | 740 High St, Suite 1003, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1376017947 | Amanda Marie Swanson | Nurse Practitioner | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2019-01-17 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on MR. JOSEPH L COSTA.
| 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.