Active NPI
Carol Ann Kostella
- Registered Dietitian
- Kenner, LA
National Provider Identifier
1053765404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 709045
- Practice address
- 3724 N Loyola Dr Apt 141
Kenner, LA 70065-7738 - Phone
- (504) 402-1190
- NPI assigned
- Apr 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 709045 | LA | Primary |
| Registered Dietitian | 133V00000X | 259 | LA |
Addresses
Primary practice location
3724 N Loyola Dr Apt 141
Kenner, LA 70065-7738
Mailing address
3724 Loyola Drive
Apt. 141
Kenner, LA 70065
Phone (504) 402-1190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 709045 | Other | KY | REGISTRATION - ACADEMY OF NUTRITION AND DIETETICS |
| 259 | Other | LA | STATE OF LOUISIANA LICENSURE |
Other names 1
- Carol Ann Caple
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259 | LA | MD | Registered Dietitian |
| 709045 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1053765404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 LOYOLA DRIVE",
"address_2": "APT. 141",
"city": "KENNER",
"state": "LA",
"postal_code": "70065",
"telephone_number": "504-402-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 N LOYOLA DR APT 141",
"city": "KENNER",
"state": "LA",
"postal_code": "700657738",
"telephone_number": "504-402-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTELLA",
"first_name": "CAROL",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "709045",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "259",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION - ACADEMY OF NUTRITION AND DIETETICS",
"identifier": "709045",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF LOUISIANA LICENSURE",
"identifier": "259",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "CAPLE",
"middle_name": "ANN",
"credential": "MS, RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.