JESSICA COSTELLO (NPI# 1598169500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598169500 |
Entity Type | Individual |
Full Name | JESSICA COSTELLO |
Credential | PNP |
Practice Address |
1202 Suncrest Town Centre Dr Morgantown WV 26505-1828 |
Practice Telephone | 3045992004 |
Mailing Telephone | 3045992004 |
Enumeration Date | 2014-10-20 |
Last Update Date | 2014-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN76064-CPNP | WV | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932761442 | Jessica Lyn Costello | Behavior Technician | 21023 Amie Ave, Torrance, CA 90503-4747 | 2019-07-03 |
1134434244 | Jessica Marie Costello | Case Manager/Care Coordinator | 2525 W Anklam Rd, #111, Tucson, AZ 85745-1874 | 2010-08-12 |
1750864989 | Jessica Nicole Costello | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2018-09-13 |
1801325154 | Jessica Costello | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2017-06-09 |
1922477116 | Jessica Costello | Physical Therapy Assistant | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2015-09-17 |
Street Address |
1202 SUNCREST TOWN CENTRE DR |
City | MORGANTOWN |
State | WV |
Zip Code | 26505-1828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669024709 | Alyssa Fairbanks | Nurse Practitioner | 1202 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 | 2019-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
Find all providers in zip 26505 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639275647 | Lolita M. Carter | Nurse Practitioner | 49 Highcroft Dr, Morgantown, PA 19543-8847 | 2006-09-16 |
1821600743 | Emily Rossignol | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
1508346289 | Roshawna Iman | Nurse Practitioner | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2018-08-21 |
1518483205 | Tera Lindquist | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-08-15 |
1487179388 | Michaelyn Schrock | Nurse Practitioner | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2017-08-11 |
1942663323 | Jessica Bulebush | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2016-04-01 |
1073989752 | Deanna Hinkle | Nurse Practitioner | 1247 Suncrest Town Centre Dr, Morgantown, WV 26505-1876 | 2015-08-17 |
1467849984 | Crystal Dalton | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-04-22 |
1710373691 | Lya Cartwright-stroupe | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-04-08 |
1275927048 | Victoria Lancaster | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-03-19 |
Find all providers in MORGANTOWN |
City | MORGANTOWN |
Zip Code | 26505 |
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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.