Stephanie Marie Costa, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN01808 Issued in RI

Practice address

566 Toll Gate Rd
Warwick, RI 02886-2799

Phone

(401) 738-4800

Fax

(401) 738-8153

NPI assigned

Apr 16, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• New England Premier Healthcare LTD

  • Internal Medicine Physician
  • North Smithfield, RI
  • NPI 1447799036

  Nurse Practitioner, RI

  Medicare reassignment NPD
• Koch Eye Associates

  • Eyewear Supplier
  • Middletown, RI
  • NPI 1992255236
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1083101174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PARAMOUNT DR UNIT 203",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671066",
            "telephone_number": "774-320-3040",
            "fax_number": "508-910-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862799",
            "telephone_number": "401-738-4800",
            "fax_number": "401-738-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cosmic Healing LLC
• Kerri Ellen Costa, MSN, APRN, CNP
• Kiana Costa, LCSW
• Rebeccah Costa, PSY.D.
• Sara Costa, PT
• Amanda G Cote, LICSW
• Christopher Scott Cote, PA
• Lindsey Cotoia
• Travis McFarlane Cotton, MD
• Mary Helen Lanning Coughenour, MD

• All providers in Warwick, RI
• Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.

Verify at the official NPI Registry.