KIMBERLY J COSTA (NPI# 1912957887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912957887 |
| Entity Type | Individual |
| Full Name | KIMBERLY J COSTA |
| Credential | NP |
| Practice Address |
101 Main St Suite 214 Medford MA 02155-4540 |
| Practice Telephone | 7813913532 |
| Practice Fax Number | 7813916224 |
| Mailing Telephone | 7813913532 |
| Mailing Fax Number | 7813916224 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
251684 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518229814 | Kimberly Costa | Specialist | 1000 South Ave # 2, Staten Island, NY 10314-3409 | 2012-06-12 |
| 1174123814 | Kimberly Costa | Behavior Technician | 1160 W Olive Ave # Ce, Merced, CA 95348-1958 | 2020-10-30 |
| 1639473648 | Kimberly Costa | Occupational Therapy Assistant | 863 Hathaway Rd, New Bedford, MA 02740-1916 | 2011-01-05 |
| Street Address |
101 MAIN ST SUITE 214 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809411 | Raymond S. Murano | Podiatrist | 101 Main St, Ste 207, Medford, MA 02155-4530 | 2005-05-30 |
| 1063805851 | Diane Coste | Nurse Practitioner | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2015-03-18 |
| 1942543764 | Neelam M. Thacker, M.d. | Clinic/Center | 101 Main St, #210, Medford, MA 02155-4540 | 2013-03-29 |
| 1801134416 | Jason M. Gilbert, M.d.p.c. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2013-01-17 |
| 1275878076 | Nicole Marie Hersel | Nurse Practitioner | 101 Main St, Suite 201, Medford, MA 02155-4540 | 2012-12-05 |
| 1033491766 | H. Gregory Ota, M.d., P.c | Clinic/Center | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2011-09-20 |
| 1679866156 | Anthony Michael Paolucci | Dentist | 101 Main St, #206, Medford, MA 02155-4540 | 2011-05-17 |
| 1235434762 | Karen Ann Quigley | Dentist | 101 Main St, Suite 206, Medford, MA 02155-4540 | 2011-01-13 |
| 1023348935 | Jason M. Gilbert, M.d. P.C. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2009-12-29 |
| 1215164744 | James Andriotakis | Physical Medicine & Rehabilitation | 101 Main St, Suite 101, Medford, MA 02155-4540 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216743 | Lisa Susan Williams | Nurse Practitioner | 76 Southaven Ave Ste 5, Medford, NY 11763-3745 | 2019-07-07 |
| 1003839424 | Christine Ann Stanek | Nurse Practitioner | 2859 State Street, Suite 101, Medford, OR 97504 | 2006-07-26 |
| 1114997244 | Eileen Weldon Stiles | Nurse Practitioner | 520 Medical Center Drive, Suite 201, Medford, OR 97504-4434 | 2006-01-23 |
| 1134129133 | Barbara Anne Stewart | Nurse Practitioner | 2960 Doctors Park Dr, Medford, OR 97504-8127 | 2005-08-01 |
| 1295391985 | Kag Professional Nurse Practioner In Adult Health Pllc | Nurse Practitioner | 3115 Horseblock Rd, Medford, NY 11763-2526 | 2019-05-17 |
| 1013458405 | Elysian Health | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2017-03-17 |
| 1801335336 | Julia Ann Smith | Nurse Practitioner | 811 W Broadway Ave, Medford, WI 54451-1307 | 2017-02-16 |
| 1528506334 | Rebecca Rampton | Nurse Practitioner | 3617 S Pacific Hwy, Medford, OR 97501-8957 | 2017-02-01 |
| 1700238623 | Courtney Nicholas | Nurse Practitioner | 1723 N Ocean Ave, Medford, NY 11763-2687 | 2016-07-02 |
| 1871983353 | Nancy Obispo | Nurse Practitioner | 555 Black Oak Drive, Suite 300, Medford, OR 97504-8491 | 2015-02-04 |
| Find all providers in MEDFORD | ||||
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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.