Individual provider Active NPI

Lauren Ann Costabile-Lopez, FNP-BC

  • Family Nurse Practitioner
  • Carmel, NY
National Provider Identifier
1033532601
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F353749-01 Issued in NY
Practice address
3 White Pine CT
Carmel, NY 10512-1615
Phone
(914) 362-0411
NPI assigned
Feb 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F353749-01 NY Primary
Registered Nurse 163W00000X 551079-1 NY

Addresses

Primary practice location

3 White Pine CT
Carmel, NY 10512-1615

Mailing address

3 White Pine CT
Carmel, NY 10512-1615
Phone (914) 362-0411

Other names 1

  • Lauren Ann Costabile Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
551079-1NYMDRegistered Nurse
F353749-01NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1033532601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WHITE PINE CT",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121615",
            "telephone_number": "914-362-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WHITE PINE CT",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121615",
            "telephone_number": "914-362-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTABILE-LOPEZ",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-01",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F353749-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "551079-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "COSTABILE",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.