SHELBY KOSTAL (NPI# 1295375020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295375020 |
| Entity Type | Individual |
| Full Name | SHELBY KOSTAL |
| Practice Address |
4111 Avalon Dr Wilmington MA 01887-1162 |
| Practice Telephone | 6312192543 |
| Mailing Telephone | 6312192543 |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4111 AVALON DR |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565563 | Hanna Kreinbrink | Student in an Organized Health Care Education/Training Program | 365 Darlington Ave Unit 303, Wilmington, NC 28403-1371 | 2020-10-13 |
| 1548868656 | Ashton Whitley | Student in an Organized Health Care Education/Training Program | 5205 Lord Tennyson Dr, Wilmington, NC 28405-2622 | 2020-10-12 |
| 1114535275 | Khalid Alabid | Student in an Organized Health Care Education/Training Program | 133 Salem Ct, Wilmington, NC 28411-9745 | 2020-07-15 |
| 1386261964 | Harjas S Aulakh | Student in an Organized Health Care Education/Training Program | 3549 Silverside Rd # E403, Wilmington, DE 19810-4922 | 2020-06-30 |
| 1437776499 | Erin Amira Feehan | Student in an Organized Health Care Education/Training Program | 2502 White Rd, Wilmington, NC 28411-6134 | 2020-06-25 |
| 1851916753 | Denia Cislo | Student in an Organized Health Care Education/Training Program | 3811 Merestone Dr, Wilmington, NC 28412-5184 | 2020-06-16 |
| 1689294894 | Sheena Sikka | Student in an Organized Health Care Education/Training Program | 401 Justison St Apt 203, Wilmington, DE 19801-5291 | 2020-04-17 |
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1457980955 | Faisal Shabbir | Student in an Organized Health Care Education/Training Program | 701 N Clayton St Fl Street2, Wilmington, DE 19805-3165 | 2020-04-06 |
| 1669000311 | Kye Matthew Williams | Student in an Organized Health Care Education/Training Program | 501 W 14th St # A, Wilmington, DE 19801-1013 | 2020-03-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
Please comment or provide details below to improve the information on SHELBY KOSTAL.
| 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.