MISS ANNA NICOLE KOSTAL (NPI# 1508245648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508245648 |
| Entity Type | Individual |
| Full Name | MISS ANNA NICOLE KOSTAL |
| Credential | OTR/L |
| Practice Address |
693 Leesville Rd Lynchburg VA 24502-2828 |
| Practice Telephone | 4342005750 |
| Practice Fax Number | 4342001662 |
| Mailing Fax Number | 4342001662 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
0119005513 | VA | Ambulatory Health Care Facilities |
| Street Address |
693 LEESVILLE RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938972 | Ellis M. Karr | Social Worker | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2005-08-03 |
| 1376144931 | Nelly Addo | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-11-02 |
| 1366057531 | Margaret Rose Hybl | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-09-14 |
| 1427662261 | Samantha Clingenpeel | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1952915712 | Jessica Stinnett Cunningham | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1346850948 | Nikki Rice | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-07 |
| 1912516642 | Stephannie Malone | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-07-29 |
| 1265041552 | Jeffrey Emmett Mccurry | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-07-23 |
| 1164044863 | Amanda Mae Dinkle | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-05-15 |
| 1366063026 | Heather Ware | Behavioral Analyst | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841512068 | Healthworks | Clinic/Center | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851591101 | Rehabcare | Clinic/Center | 1051j Village Hwy, Suite J, Rustburg, VA 24588-3800 | 2007-07-24 |
| 1023219904 | Community Physicians Services Corporation | Clinic/Center | 1418 Park Ave Nw, Norton, VA 24273-1602 | 2007-05-30 |
| 1336282268 | Taylor Made Diagnostics Inc. | Clinic/Center | 1001 Poindexter St, Chesapeake, VA 23324-2444 | 2007-02-14 |
| 1841383866 | Grady Health Services Inc. | Clinic/Center | 7524 Diplomat Dr, Manassas, VA 20109-2685 | 2006-10-02 |
| 1154342160 | Imed, Inc. | Clinic/Center | 838 Old George Washington Hwy N, Suite A, Chesapeake, VA 23323-2209 | 2006-07-22 |
| 1568933182 | Dominion Health Medical Assoc | Clinic/Center | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2018-12-07 |
| 1497114169 | Genesis Healthcare | Clinic/Center | 803 S Main St, Woodstock, VA 22664-1125 | 2016-02-23 |
| 1982009593 | Working Well, LLC | Clinic/Center | 4835 S Laburnum Ave, Richmond, VA 23231-2713 | 2014-10-24 |
| 1629482526 | Occupational Health Services | Clinic/Center | 607 E Jubal Early Dr, Winchester, VA 22601-5178 | 2014-06-18 |
| 1124438627 | Blue Ridge Medical Management Corporation | Clinic/Center | 245 Medical Park Dr, Suite C, Marion, VA 24354-1100 | 2014-05-06 |
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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.