MS. MICHELLE CORONA COSTLEY (NPI# 1992009930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992009930 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE CORONA COSTLEY |
| Credential | FNP-BC |
| Practice Address |
Unimovil Unit 2102 Treasure Hills Blvd., #1.326 (base) Harlingen TX 78550 |
| Mailing Address |
2102 Treasure Hills Blvd # 3.14406 Harlingen TX 78550-8736 |
| Practice Telephone | 9562961700 |
| Practice Fax Number | 9562961331 |
| Mailing Telephone | 9562961437 |
| Mailing Fax Number | 9562966842 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
670483 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP13866 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 286369805 | 05 | |
| TX | BCBS | H08MK73201 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1214 W Schunior St, Edinburg, TX 785412337 | 9562961731 | 9562961730 |
| Street Address |
UNIMOVIL UNIT 2102 TREASURE HILLS BLVD., #1.326 (BASE) |
| City | HARLINGEN |
| State | TX |
| Zip Code | 78550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
| 1952920647 | Av Rehab LLC | Skilled Nursing Facility | 2902 S 77 Sunshine Strip, Harlingen, TX 78550 | 2020-04-13 |
| 1982260105 | Daniella Concha | Student in an Organized Health Care Education/Training Program | 3102 Haine Drive, Apt 411, Harlingen, TX 78550 | 2019-05-13 |
| 1669036539 | Ayman Khaddam | Student in an Organized Health Care Education/Training Program | 2121 Pease Street, Mob Suite 200, Vbmc - Utrgv Im, Harlingen, TX 78550 | 2019-04-26 |
| 1104382738 | Abrazos De Jesus Healthcare, LLC | Home Health | 804 N Commerce, Harlingen, TX 78550 | 2019-02-19 |
| 1912462136 | Deep Sea Dental Pllc | Clinic/Center | 603 South Expressway 83, Suite H2, Harlingen, TX 78550 | 2019-02-01 |
| 1710442082 | Mary Angela Alexander | Dietitian, Registered | 1740 Christian Cir, Harlingen, TX 78550 | 2019-01-31 |
| 1376025080 | El Valle Quality Home Care | Technician | 1212 E. Harrison Ave, Suite 136, Harlingen, TX 78550 | 2018-08-30 |
| 1144717547 | Velma Hughes | Nurse Practitioner | 2424 Riverside Drive, Harlingen, TX 78550 | 2018-04-20 |
| 1730686494 | Angelica Maria Ortiz | Student in an Organized Health Care Education/Training Program | Utrgv Psychiatry Residency Program, 2102 Treasure Hills Blvd, Harlingen, TX 78550 | 2018-04-10 |
| Find all providers in zip 78550 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252987 | Valerie Lorraine Rivera | Nurse Practitioner | 714 E Taft Ave, Harlingen, TX 78550-7720 | 2020-10-15 |
| 1134746233 | Sarah Baguiwet Souffrant | Nurse Practitioner | 3101 Lazy Lake Dr, Harlingen, TX 78550-7434 | 2020-07-06 |
| 1366072928 | Lucia Castaneda | Nurse Practitioner | 1649 Treasure Hills Blvd Ste B11, Harlingen, TX 78550-8910 | 2020-01-23 |
| 1801432232 | Juanita Victoria Garza | Nurse Practitioner | 512 Victoria Ln Ste 7a, Harlingen, TX 78550-3226 | 2019-11-20 |
| 1639726375 | Ruby Rodriguez | Nurse Practitioner | 1821 Hale Drive Suite 10, Harlingen, TX 78550-4446 | 2019-08-19 |
| 1316507403 | Patricia Castilleja | Nurse Practitioner | 1601 Treasure Hl Blvd, Harlingen, TX 78550-8910 | 2019-06-19 |
| 1891355368 | Julie Diane Garcia | Nurse Practitioner | 20499 Fm 508, Harlingen, TX 78550-1793 | 2019-06-17 |
| 1194382622 | Marian Leslie Dato | Nurse Practitioner | 734 Sonesta Ct Apt 3, Harlingen, TX 78550-2848 | 2019-05-20 |
| 1104385889 | Eliana Cruz Martinez | Nurse Practitioner | 1206 S F St Ste A, Harlingen, TX 78550-6783 | 2019-03-13 |
| 1184189185 | Sonia Marivel Meza | Nurse Practitioner | 3002 Pinehurst Dr, Harlingen, TX 78550-7438 | 2019-02-04 |
| Find all providers in HARLINGEN | ||||
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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.