DEVAN COSTELLE


Address: 201 Abraham Flexner Way, Louisville, KY 40202-3841
Phone: 5027182877

DEVAN COSTELLE (NPI# 1962055319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962055319
Entity Type Individual
Full Name DEVAN COSTELLE
Credential RN, APRN, AGACNP-BC
Practice Address 201 Abraham Flexner Way
Louisville
KY 40202-3841
Mailing Address Po Box 909
Louisville
KY 40201-0909
Practice Telephone 5027182877
Mailing Telephone 5025880325
Enumeration Date 2019-07-24
Last Update Date 2019-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
3013580 KY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
530 S Jackson St, Louisville, KY 402021675 5027182877

Office Location

Street Address 201 ABRAHAM FLEXNER WAY
City LOUISVILLE
State KY
Zip Code 40202-3841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306846696 Roberto Bolli Internal Medicine 201 Abraham Flexner Way, 1001, Louisville, KY 40202-3841 2005-07-28
1730735556 Abdulmajeed Abdullah Aljuhiman Internal Medicine 201 Abraham Flexner Way, Louisville, KY 40202-3841 2019-08-16
1952870479 Komg-louisville Region Inc. Psychologist 201 Abraham Flexner Way, Louisville, KY 40202-3841 2018-11-14
1588132203 Komg-louisville Region Inc. Anesthesiology 201 Abraham Flexner Way, Louisville, KY 40202-3841 2018-11-12
1942789532 Ellen Bischoff Nurse Practitioner 201 Abraham Flexner Way, Louisville, KY 40202 2018-08-14
1073049516 Kamal Mohamed-ayed Kassem Internal Medicine 201 Abraham Flexner Way, Rudd Heart & Lung Bldg, Suite 600, Louisville, KY 40202 2017-05-03
1932635513 Harkiran Kaur Sandhu Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way, Rudd Heart & Lung Ctr., Ste. 690, Louisville, KY 40202 2017-05-03
1215380563 Courtney Scott Mckechnie Nurse Practitioner 201 Abraham Flexner Way, Suite 100, Louisville, KY 40202-3841 2016-07-21
1952753378 Tammy Vogt Nurse Practitioner 201 Abraham Flexner Way, Louisville, KY 40202-3841 2016-07-09
1326401555 Amanda Marie Cothern Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way, Rudd Heart & Lung Ctr., Ste. 690, Louisville, KY 40202-3841 2016-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720384522 Ruth Gay Lawton Nurse Practitioner 1431 Hepburn Ave Apt 1, Louisville, KY 40204-1652 2011-01-27
1417567918 Orthoregenerative Institute Nurse Practitioner 701 Executive Park, Louisville, KY 40207 2020-08-09
1902383862 Cynthia D Phillips Nurse Practitioner 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223 2018-07-24
1730696451 Jennifer Haynes Nurse Practitioner 3950 Kresge Way Ste 308, Louisville, KY 40207-4637 2018-01-03
1548770175 Gregory K Parker Nurse Practitioner 101 S 5th St Ste 2500, Louisville, KY 40202-3066 2017-10-10
1508386061 Kristen Wernert Nurse Practitioner 3900 Kresge Way Ste 46, Louisville, KY 40207-4681 2017-06-26
1588197271 Aruna Mathew Nurse Practitioner 4604 Lowe Rd, Louisville, KY 40220-1514 2017-04-10
1821534546 Crystal Labbato Nurse Practitioner 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 2017-01-19
1942608328 Jinnyi Clements Nurse Practitioner 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223 2014-12-16
1134521081 Robert K Holland Nurse Practitioner 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 2014-09-23
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Competitor

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City LOUISVILLE
Zip Code 40202

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Dataset Information

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.

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