Individual provider Active NPI

Marsha Anne Costelow, ANP AND GNP

  • Adult Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1063428845
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
72645 Issued in CO
Practice address
1055 Clermont Street
Marsha Costelow (11B) C/O Denver Vamc/Echcs
Denver, CO 80220
Phone
(303) 399-8020
Fax
(303) 393-4670
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 72645 CO Primary

Addresses

Primary practice location

1055 Clermont Street
Marsha Costelow (11B) C/O Denver Vamc/Echcs
Denver, CO 80220

Mailing address

1055 Clermont Street
Marsha Costelow (11B) C/O Denver Vamc/Echcs
Denver, CO 80220
Phone (303) 399-8020

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

LicenseStateTypeSpecialty
72645COMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063428845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CLERMONT STREET",
            "address_2": "MARSHA COSTELOW (11B) C/O DENVER VAMC/ECHCS",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80220",
            "telephone_number": "303-399-8020",
            "fax_number": "303-393-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CLERMONT STREET",
            "address_2": "MARSHA COSTELOW (11B) C/O DENVER VAMC/ECHCS",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80220",
            "telephone_number": "303-399-8020",
            "fax_number": "303-393-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELOW",
        "first_name": "MARSHA",
        "middle_name": "ANNE",
        "credential": "ANP AND GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "72645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.