Active NPI
Marta-Ayleen Costas, ARNP
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1114296837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 3148212
- Practice address
- 9009 Corporate Lake Dr
Suite 200
Tampa, FL 33634-2367 - Phone
- (305) 934-9864
- Fax
- (855) 209-4227
- NPI assigned
- Dec 27, 2011
- Last updated
- Jul 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 3148212 | FL | Primary |
Addresses
Primary practice location
9009 Corporate Lake Dr
Suite 200
Tampa, FL 33634-2367
Mailing address
9009 Corporate Lake Dr
Suite 200
Tampa, FL 33634-2367
Phone (305) 934-9864
Other names 1
- Ms. Marta-Ayleen Leon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 3148212 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1114296837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9009 CORPORATE LAKE DR",
"address_2": "SUITE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336342367",
"telephone_number": "305-934-9864",
"fax_number": "855-209-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9009 CORPORATE LAKE DR",
"address_2": "SUITE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336342367",
"telephone_number": "305-934-9864",
"fax_number": "855-209-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTAS",
"first_name": "MARTA-AYLEEN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 3148212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARTA-AYLEEN",
"last_name": "LEON",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tampa, FL
- Jennifer Catherine Costa, M.D.
- Monica Dina Costa, PHARMD
- Ricardo Lima Barros Costa, MD
- Courtney Lynn Costantino, D.O.
- Alejandro Costas
- Costco Wholesale Corporation (Costco Pharmacy #1262)
- Costco Wholesale Corporation (Costco Hearing Aid #1262)
- Costco Wholesale Corporation (Costco Optical #1262)
- Fernando E. Coste-Delvecchio, M.D.
- James Robert Costello, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.