MAXINE COSTA (NPI# 1851494942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851494942 |
| Entity Type | Individual |
| Full Name | MAXINE COSTA |
| Credential | APRN |
| Practice Address |
19 Woodland Street Suite 31 Hartford CT 06105 |
| Practice Telephone | 8607281212 |
| Practice Fax Number | 8607245224 |
| Mailing Telephone | 8607281212 |
| Mailing Fax Number | 8607245224 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
000861 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
000861 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004207719 | 05 |
| Street Address |
19 WOODLAND STREET SUITE 31 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851362180 | Kevin Lamont Collins | Family Medicine | 19 Woodland Street, Suite 42, Hartford, CT 06105 | 2006-01-26 |
| 1114325115 | Solinsky Eyecare LLC | Optometrist | 19 Woodland Street, Suite 41, Hartford, CT 06105-2372 | 2014-12-08 |
| 1316000425 | Central Connecticut Cardiologists LLC | Internal Medicine | 19 Woodland Street, Suite 35, Hartford, CT 06105-2372 | 2006-12-19 |
| 1033212121 | Felice Colliton | Obstetrics & Gynecology | 19 Woodland Street, Suite 31, Hartford, CT 06105 | 2006-09-06 |
| 1942303037 | Kenneth Elligers | Obstetrics & Gynecology | 19 Woodland Street, Suite 31, Hartford, CT 06105 | 2006-09-06 |
| 1760585855 | Michael Bourque | Obstetrics & Gynecology | 19 Woodland Street, Suite 31, Hartford, CT 06105 | 2006-09-06 |
| 1588767677 | Tony Ness | Obstetrics & Gynecology | 19 Woodland Street, Suite 31, Hartford, CT 06105 | 2006-09-06 |
| 1922101021 | Valerie Wiseman | Obstetrics & Gynecology | 19 Woodland Street, Suite 31, Hartford, CT 06105 | 2006-09-06 |
| 1992819817 | Maria Ellis | Obstetrics & Gynecology | 19 Woodland Street, Hartford, CT 06105 | 2006-08-18 |
| 1811960685 | Michael Lance Krall | Allergy & Immunology | 19 Woodland Street, Suite 11, Hartford, CT 06105 | 2006-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992802037 | Adele Silhavy | Nurse Practitioner | 1000 Asylum Ave Rm 1026, Hartford, CT 06105-1701 | 2006-09-20 |
| 1962588947 | Deborah S Riege | Nurse Practitioner | 80 Seymour Street, Hartford Hospital Ob/gyn, Hartford, CT 06102 | 2006-10-31 |
| 1629169149 | Jacquelyn Penta Kilman | Nurse Practitioner | 80 Seymour Street, Hartford Hospital Ob/gyn Dept, Hartford, CT 06102-5037 | 2006-09-28 |
| 1659474690 | Karen M Beattie | Nurse Practitioner | 100 Retreat Ave, Suite 201, Hartford, CT 06106 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548655038 | Tania Richard | Nurse Practitioner | 17 Eastwood Rd, Groton, CT 06340-6010 | 2015-04-01 |
| 1710230842 | Lenore Ann Leone | Nurse Practitioner | 500 Old Farms Rd, Avon, CT 06001-2716 | 2012-10-26 |
| 1669571428 | Mary Jean Walker | Nurse Practitioner | 300 Western Boulevard, Glastonbury, CT 06033 | 2006-09-21 |
| 1902912827 | Elizabeth Jensen | Nurse Practitioner | 120 Simsbury Rd Ste B, Avon, CT 06001-3735 | 2006-08-22 |
| 1578590485 | Jean E. Mackay | Nurse Practitioner | 67 Hickory Hill Road, Simsbury, CT 06070 | 2006-06-27 |
| 1083687057 | Jeanne Bedard | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-02-09 |
| 1710963483 | Karen Marie Wunderlich | Nurse Practitioner | 120 Park Lane Rd Ste B202, New Milford, CT 06776-2450 | 2005-12-15 |
| 1467628016 | Jean D Vulte | Nurse Practitioner | 33 Bullet Hill Rd., Bullet Hill Park, Suite 214, Southbury, CT 06488-4699 | 2008-05-05 |
| 1477766202 | Timothy M Barczak Md LLC | Nurse Practitioner | 345 Montauk Ave, New London, CT 06320-4738 | 2007-05-08 |
| 1326166513 | Jean Carol Ohliger | Nurse Practitioner | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAXINE COSTA.
| 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.