Benjamin Costello

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003965 Issued in VA

Practice address

3101 Washington Ave
Newport News, VA 23607-3328

Phone

(757) 812-0662

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1023829785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 WASHINGTON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236073328",
            "telephone_number": "757-812-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Marshall Avenue",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23601",
            "country_code": "US",
            "telephone_number": "757-812-0662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Corsi
• Brianna Rose Cossu, M.S.
• Costco Wholesale Corporation (Costco Optical #247)
• Costco Wholesale Corporation (Costco Hearing Aid #247)
• Costco Wholesale Corporation (Costco Pharmacy #247)
• Lydia J. Cote, PA-C
• Steven Cotnoir, PA-C
• Jeanette Carol Council
• Latoya Ann Council
• Patricia Drummond Couser, CMT,LMT

• Athletic Trainer in Newport News, VA
• Providers in Newport News, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.