Teresa Ann Costakis, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

320881 Issued in NY

Practice address

2829 Church St
Pine Plains, NY 12567-5545

Phone

(518) 398-7181

Fax

(518) 398-0169

NPI assigned

Oct 12, 2011

Last updated

Oct 12, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1083999825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 CHURCH ST",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675545",
            "telephone_number": "518-398-7181",
            "fax_number": "518-398-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 CHURCH ST",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675545",
            "telephone_number": "518-398-7181",
            "fax_number": "518-398-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAKIS",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "320881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Cohen Alexander, PNP
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• Peter Richard Briggs Caldwell, M.D.
• Brittany Lee Cruickshank, LCSW
• Gladys Mae Deane, LPN
• Diane Diasparra, MS ED
• Sandra Douglass, LPN
• Dr Frank M Volz, Jr. & Associates

• Registered Nurse in Pine Plains, NY
• Providers in Pine Plains, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.