Jacqueline Angela Dacosta, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN079303 Issued in GA

Practice address

4133 Chapel Lake Dr
Decatur, GA 30034-3568

Phone

(404) 549-8086

Fax

(404) 549-8086

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

Yes

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1104209246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 CHAPEL LAKE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343568",
            "telephone_number": "404-549-8086",
            "fax_number": "404-549-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 CHAPEL LAKE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343568",
            "telephone_number": "404-549-8086",
            "fax_number": "404-549-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACOSTA",
        "first_name": "JACQUELINE",
        "middle_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN079303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph D'Auria, M.D.
• D&J Medical Resources
• Ingrid Zaib Antonio Da Costa, MD
• Panshion Dabney, PHARM.D
• Paul Dabney, NMD, MPH, M.ED
• Joann Dade, RN, MS
• Antwanette Dailey, BCBA
• Sarah Snyder Dailey, LCSW
• Anita Claudette Daise
• Lara Dakkak, P.A

• Registered Nurse in Decatur, GA
• Providers in Decatur, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.