DAWN DECOSTA (NPI# 1619355260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619355260 |
| Entity Type | Individual |
| Full Name | DAWN DECOSTA |
| Credential | PMHNP-BC |
| Practice Address |
40 Pleasant St Concord NH 03301-4006 |
| Mailing Address |
74 Northeastern Blvd Ste 10a Nashua NH 03062-3142 |
| Practice Telephone | 6032267505 |
| Mailing Telephone | 6039455532 |
| Mailing Fax Number | 6035771679 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
065101-21 | NH | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
065101-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
40 PLEASANT ST |
| City | CONCORD |
| State | NH |
| Zip Code | 03301-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132941 | Nancy Clark | Nurse Practitioner | 40 Pleasant St, Concord, NH 03301-4006 | 2005-11-29 |
| 1659984235 | Courtney Koffink | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2020-08-25 |
| 1902427396 | Samantha Captain | Peer Specialist | 40 Pleasant St, Concord, NH 03301-4006 | 2020-04-27 |
| 1104445691 | Aurelia Hutchison | Peer Specialist | 40 Pleasant St, Concord, NH 03301-4006 | 2020-04-14 |
| 1164050522 | Kailee Merryfield | Counselor | 40 Pleasant St, Concord, NH 03301-4006 | 2020-03-31 |
| 1154955185 | Joshua Robert Hammond | Social Worker | 40 Pleasant St, Concord, NH 03301-4006 | 2020-02-28 |
| 1003455866 | Jeffrey Renner | Counselor | 40 Pleasant St, Concord, NH 03301-4006 | 2019-12-27 |
| 1922650910 | Lisa Auditore Reynolds | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2019-07-10 |
| 1215596838 | Janice Lavallee | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2019-06-07 |
| 1699331546 | Elizabeth Lamoureux Dine | Registered Nurse | 40 Pleasant St, Concord, NH 03301-4006 | 2019-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1730688789 | Ashley M Pinkham | Nurse Practitioner | 246 Pleasant St Ste 104, Concord, NH 03301 | 2018-02-06 |
| 1134645831 | D & B Medical Logistics LLC | Non-emergency Medical Transport (VAN) | 119 Old Turnpike Rd, Concord, NH 03301 | 2017-08-15 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1407396500 | Oakmont Med Solutions | Durable Medical Equipment & Medical Supplies | 14 Centre Street, Concord, NH 03301 | 2017-03-08 |
| 1407210347 | Sherri Jean Perry | Nurse Practitioner | Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 | 2016-04-06 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1871969600 | Creative Counseling Center, Pllc | Counselor | 18 Kennedy Lane, Concord, NH 03301 | 2015-08-16 |
| 1376927087 | Families In Transition | Counselor | 9 Odd Fellows Ave, Concord, NH 03301 | 2015-07-13 |
| Find all providers in zip 03301 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154591030 | Craig Sussman | Nurse Practitioner | 111 Old Road To Nine Acre Corner, Concord, MA 01742-4141 | 2008-03-06 |
| 1306906417 | Steve Arvin | Nurse Practitioner | 100 Hall St, Concord, NH 03301-3408 | 2006-12-11 |
| 1144380940 | Holli Marie Hoffman | Nurse Practitioner | 1333 Willow Pass Rd Ste 102, Concord, CA 94520 | 2006-12-11 |
| 1225003908 | Patricia A Orzano | Nurse Practitioner | 278 Pleasant Street, Riverbend Counseling Associates, Concord, NH 03301 | 2006-02-17 |
| 1437132941 | Nancy Clark | Nurse Practitioner | 40 Pleasant St, Concord, NH 03301-4006 | 2005-11-29 |
| 1326030792 | Lacy Henry Miller | Nurse Practitioner | 284 Executive Park Dr, Concord, NC 28025-1831 | 2005-08-22 |
| 1063013423 | Timothy Bailey | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-11-03 |
| 1447868617 | Meghan Dumas Farley | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-07-14 |
| 1073145199 | Ry K Billadeau | Nurse Practitioner | 33 Warren St, Concord, NH 03301-4049 | 2020-02-06 |
| 1073158101 | David Jihun Choi | Nurse Practitioner | 281 N State St, Concord, NH 03301-3227 | 2019-11-13 |
| Find all providers in CONCORD | ||||
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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.