Active NPI
Denise K Costa, FAMILY NP
- Family Nurse Practitioner
- North Port, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9277041
- Practice address
- 2560 Commerce Pkwy
North Port, FL 34289-9348 - Phone
- (941) 429-3545
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9277041 | FL | Primary |
Addresses
Primary practice location
2560 Commerce Pkwy
North Port, FL 34289-9348
Mailing address
2560 Commerce Pkwy
North Port, FL 34289-9348
Phone (941) 429-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9277041 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Flagel Pediatric & Family Medicine P a | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
50 N Laura St
Ste 2500
Jacksonville, FL 32202
Phone (219) 516-3784
2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352
2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- North Port, FL
- NPI 1790090538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1013991629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 COMMERCE PKWY",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342899348",
"telephone_number": "941-429-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 COMMERCE PKWY",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342899348",
"telephone_number": "941-429-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "DENISE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "FAMILY NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9277041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.