Individual provider Active NPI

Lucilla Marino Acosta, REGISTERED NURSE

  • Home Health Registered Nurse
  • Windsor, CT
National Provider Identifier
1083352249
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
144934 Issued in CT
Practice address
14 Barry LN
Windsor, CT 06095-2616
Phone
(860) 670-6383
Fax
(860) 248-4000
NPI assigned
May 26, 2022
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN2355122 MA
Plastic Surgery Registered Nurse 163WS0121X RN2355122 MA
Pediatric Registered Nurse 163WP0200X 144934 CT
Home Health Registered Nurse 163WH0200X RN2355122 MA
Home Health Registered Nurse 163WH0200X 144934 CT Primary
Plastic Surgery Registered Nurse 163WS0121X 144934 CT

Addresses

Primary practice location

14 Barry LN
Windsor, CT 06095-2616

Mailing address

14 Barry LN
Windsor, CT 06095-2616
Phone (860) 670-6383

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
RN2355122MAMDHome Health Registered Nurse
144934CTMDPlastic Surgery Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Nursing, PLLC CurrentSince Oct 27, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1083352249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BARRY LN",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952616",
            "telephone_number": "860-670-6383",
            "fax_number": "860-248-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BARRY LN",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952616",
            "telephone_number": "860-670-6383",
            "fax_number": "860-248-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "LUCILLA",
        "middle_name": "MARINO",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MA",
            "license": "RN2355122",
            "primary": false
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "MA",
            "license": "RN2355122",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CT",
            "license": "144934",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2355122",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CT",
            "license": "144934",
            "primary": true
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "CT",
            "license": "144934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.