MRS. MARY A COSTELLO (NPI# 1548426414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548426414 |
| Entity Type | Individual |
| Full Name | MRS. MARY A COSTELLO |
| Credential | ANP |
| Practice Address |
3311 Riverbend Dr Springfield OR 97477-8800 |
| Mailing Address |
110 Archbell Point Ln Mooresville NC 28117-5971 |
| Practice Telephone | 5412222868 |
| Mailing Telephone | 7042521579 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
C-APN.0001649-C- | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201508795NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5004075 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP1325 | 05 | |
| NC | 7004305 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770891657 | Mary Kelley Costello | Registered Nurse | 4084 W 56th St, Cleveland, OH 44144-1842 | 2010-09-14 |
| 1497922157 | Mary Elizabeth Costello | Nurse Practitioner | 400 South Orange Avenue, Seton Hall University Health Services, South Orange, NJ 07079-2697 | 2008-05-13 |
| 1639372204 | Mary Joanne Costello | Social Worker | 5317 N Clark St Fl 2, Chicago, IL 60640 | 2007-06-08 |
| 1306138672 | Mary Colleen Costello | Emergency Medicine | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2011-05-05 |
| 1568605673 | Mary Angela Costello | Social Worker | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2009-04-20 |
| 1447371489 | Mary Martha Costello | Social Worker | 22 Linwood Ave, B, Bel Air, MD 21014-3951 | 2007-04-03 |
| 1841215399 | Mary K Costello | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-07-13 |
| Street Address |
3311 RIVERBEND DR |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154307528 | Hongsheng M Guo | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2005-12-19 |
| 1528516986 | Steven Lorenzen | Physician Assistant | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2016-09-14 |
| 1700285582 | Shannon Carlson | Nurse Practitioner | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2014-08-18 |
| 1265872691 | Chinar Agarwal | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2013-06-30 |
| 1467738062 | Aaron Wayne Harding | Clinical Exercise Physiologist | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2011-10-26 |
| 1992099824 | Kenzie A Scheidt | Physician Assistant | 3311 Riverbend Dr, Oregon Cardiology, Springfield, OR 97477-8800 | 2011-06-08 |
| 1770725046 | Briana O'kelley | Physician Assistant | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2009-04-01 |
| 1568601607 | University Professional Services | General Practice | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2009-02-12 |
| 1841467347 | Eric Richard Muller | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2008-05-13 |
| 1528251618 | Manjunath Gopal Raju | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1962906552 | Caroline Mcgarr Butler | Nurse Practitioner | 368 River St Ste 160, Springfield, VT 05156-2242 | 2018-03-20 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1598298457 | Summer Tipton | Nurse Practitioner | 2140 S Hillcrest Ave, Springfield, MO 65807-2108 | 2017-04-07 |
| 1417406489 | Amy L Peters | Nurse Practitioner | 1242 E Independence St, #200, Springfield, MO 65804-4284 | 2016-10-01 |
| 1679833271 | Sentew Care Nurse Practitioner LLC | Nurse Practitioner | 8322 Bark Tree Ct, Springfield, VA 22153-3828 | 2012-05-17 |
| 1508157140 | Springfield Internal Medicine Group | Nurse Practitioner | 1435 E Bradford Pkwy, Suite 105, Springfield, MO 65804-6563 | 2011-05-01 |
| 1043533128 | Keri Lynn Sutton | Nurse Practitioner | 1730 E Republic Rd Ste K, Springfield, MO 65804-6519 | 2010-03-03 |
| 1093967630 | Maire Alexander | Nurse Practitioner | 7939 Lake Pleasant Dr, Springfield, VA 22153-2750 | 2008-10-15 |
| 1790937498 | Marlene Karen Schmitz | Nurse Practitioner | 385 Morris Ave Ste 100, Springfield, NJ 07081-1100 | 2008-10-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on MRS. MARY A COSTELLO.
| 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.