JAMES MICHAEL COSTELLO (NPI# 1851711717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851711717 |
| Entity Type | Individual |
| Full Name | JAMES MICHAEL COSTELLO |
| Credential | RN |
| Practice Address |
830 Chalkstone Ave Providence RI 02908-4734 |
| Practice Telephone | 4012737100 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
34274 | RI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881021723 | James Costello | Durable Medical Equipment & Medical Supplies | 110 Adams St, Saratoga Springs, NY 12866-5002 | 2013-10-10 |
| 1457600041 | James Paul Costello | Dentist | 862 Shellbark Way, The Villages, FL 32162-4075 | 2012-08-29 |
| 1811190515 | James Costello | Chiropractor | 4615 I- 45 North Freeway Ste#208, Houston, TX 77022 | 2007-06-08 |
| 1144733981 | James Jay Costello | Counselor | 1 Kellogg Cir, Emporia, KS 66801-5415 | 2017-11-15 |
| 1033649959 | James Costello | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Stratford, NJ 08084 | 2017-06-13 |
| 1215115233 | James Robert Costello | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2008-01-31 |
| 1740386887 | James Patrick Costello | Optometrist | 3217 Lake Ave, Wilmette, IL 60091-1080 | 2006-09-16 |
| 1760498901 | James W. Costello | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-07-31 |
| 1801883236 | James Costello | Pediatrics | 4120 Prescott Rd, Modesto, CA 95356-8418 | 2005-09-30 |
| Street Address |
830 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510853 | Frances Ann Bettencourt | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2005-09-29 |
| 1881295277 | Johnna Bussiere | Nurse's Aide | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-11-03 |
| 1770196578 | Caroline Sophie Holman | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-31 |
| 1104437458 | Vivian Vang | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-11 |
| 1841800604 | Wilcania Baez | Social Worker | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-06 |
| 1609484757 | Stephen Soonbeom Kwon | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1972111029 | Keenan Sandouk | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1952919011 | Yumna Arif | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1760009518 | Hassan Saada | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-28 |
| 1952927675 | Susannah Kondrath | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1831632348 | Candace Ann James | Registered Nurse | 98 E 500 S, Providence, UT 84332-9801 | 2016-12-01 |
| 1043343379 | Rose Mcclarnon | Registered Nurse | 255 Hope Street, Hope Street Apartments, Providence, RI 02906-2173 | 2007-03-14 |
| 1154322568 | Nancy S Remington | Registered Nurse | 55 Hope St, Providence, RI 02906-2001 | 2005-08-09 |
| 1952937997 | Mary-kate P Earley | Registered Nurse | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-03-22 |
| 1447896279 | Kathleen Anne Ferrante | Registered Nurse | 530 North Main Street, Same, Providence, RI 02904 | 2019-11-27 |
| 1881186237 | Lori Elizabeth Traut-savino | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2018-06-01 |
| 1013353705 | Douglas L Townsend | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2013-05-21 |
| 1477739076 | Anthony Macro Jr. | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514076 | Meredith Louise Arden | Registered Nurse | 57 Hastings Ave, Pawtucket, RI 02861-3301 | 2020-09-23 |
| 1396372280 | Arielle Rounds | Registered Nurse | 324 Daggett Ave, Pawtucket, RI 02861-2559 | 2020-03-23 |
| 1053872861 | Brittany Dunn | Registered Nurse | 18 Oriole St, Rumford, RI 02916-1513 | 2019-03-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1568542215 | Karen Ann Rush | Registered Nurse | 116 A Long St, Buttonwoods Group Home, Warwick, RI 02886 | 2006-10-17 |
| 1508979220 | Michelle D Crandall | Registered Nurse | 1171 Main St., Wyoming, RI 02898 | 2006-08-16 |
| 1295765899 | Karen L Cadwalader | Registered Nurse | 87 Kay St, Newport, RI 02840-2843 | 2006-07-03 |
| 1851371603 | Susan Meryl Lincoln | Registered Nurse | 2 Old County Road, Barrington, RI 02886-1506 | 2006-01-18 |
| 1467430512 | Robert S Hamel | Registered Nurse | 300 Centerville Rd Suite 101 West, Warwick, RI 02886-0201 | 2006-01-07 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
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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.