JO NELL COSTELLO (NPI# 1164437877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164437877 |
| Entity Type | Individual |
| Full Name | JO NELL COSTELLO |
| Other Name | MISS JO NELL WISE |
| Credential | R.N., ANP-C, GNP-C |
| Practice Address |
1107 Mahogany Run Dr Katy TX 77494-6166 |
| Practice Telephone | 2816931977 |
| Practice Fax Number | 2816932667 |
| Mailing Telephone | 2816931977 |
| Mailing Fax Number | 2816932667 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
604569 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
604569 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134317696 | Jo Anne Costello | Registered Nurse | 107 Pebbleview Dr, Rochester, NY 14612-4118 | 2007-10-10 |
| Street Address |
1107 MAHOGANY RUN DR |
| City | KATY |
| State | TX |
| Zip Code | 77494-6166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467099820 | Angel Justo Rivero Robles | Nurse Practitioner | 4802 Westfield Ranch Ct, Katy, TX 77449-2373 | 2019-12-04 |
| 1275178675 | Shaunna Caouette | Nurse Practitioner | 25515 Autumnwind Ct, Katy, TX 77494-4722 | 2019-11-10 |
| 1124406673 | Cynthia L Rozier | Nurse Practitioner | 21426 Biscayne Valley Ln, Katy, TX 77449-3449 | 2015-05-15 |
| 1174894828 | Jennen Lee Heathman | Nurse Practitioner | 21703 Kingsland Blvd Ste 101, Katy, TX 77450-2521 | 2012-01-25 |
| 1285917575 | Kim G Nunez | Nurse Practitioner | 5110 Eule Dr, Katy, TX 77493-9504 | 2011-09-22 |
| 1093797938 | Rose Marie Dickey | Nurse Practitioner | 1146 Flagmore Dr, Katy, TX 77450-4233 | 2005-11-16 |
| 1780108175 | Chelsea Bohac | Nurse Practitioner | 462 S Mason Rd Ste 100, Katy, TX 77450-2454 | 2017-07-28 |
| 1790221083 | Mallory Barnett | Nurse Practitioner | 21800 Katy Fwy Ste 200, Katy, TX 77449-7780 | 2017-01-11 |
| 1770896953 | Tanisha Lavelle Mangon | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2010-07-16 |
| 1104081736 | Soni Kaur Kohli | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2008-07-23 |
| Find all providers in KATY | ||||
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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.